Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.75 / $2,392.13 / $8,861.60	Facility		$634.75	$2,392.13	$8,861.60
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 $1,697.71 / $1,983.91 / $3,043.37	Facility		$1,697.71	$1,983.91	$3,043.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $634.75 / $920.19 / $1,491.35	Facility		$634.75	$920.19	$1,491.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $634.75 / $1,323.15 / $11,100.00	Facility		$634.75	$1,323.15	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $634.75 / $920.19 / $1,491.35	Facility		$634.75	$920.19	$1,491.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,301.95 / $1,586.38 / $2,368.15	Professional		$1,301.95	$1,586.38	$2,368.15
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