Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.13 / $3,057.95 / $13,667.77	Facility		$817.13	$3,057.95	$13,667.77
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 $2,176.19 / $2,543.07 / $3,901.13	Facility		$2,176.19	$2,543.07	$3,901.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $817.13 / $1,176.81 / $2,392.67	Facility		$817.13	$1,176.81	$2,392.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $817.13 / $1,702.95 / $11,100.00	Facility		$817.13	$1,702.95	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $817.13 / $1,176.81 / $2,392.67	Facility		$817.13	$1,176.81	$2,392.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,665.95 / $2,029.90 / $3,030.23	Professional		$1,665.95	$2,029.90	$3,030.23
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