Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.70 / $2,415.82 / $5,195.29	Facility		$637.70	$2,415.82	$5,195.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,699.51 / $1,986.01 / $3,046.60	Facility		$1,699.51	$1,986.01	$3,046.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $637.70 / $956.55 / $1,506.13	Facility		$637.70	$956.55	$1,506.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $637.70 / $1,332.07 / $11,100.00	Facility		$637.70	$1,332.07	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $637.70 / $956.55 / $1,506.13	Facility		$637.70	$956.55	$1,506.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,302.59 / $1,587.17 / $2,369.33	Professional		$1,302.59	$1,587.17	$2,369.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00