Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.69 / $1,774.53 / $14,482.00	Facility		$847.69	$1,774.53	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,995.29 / $5,995.29 / $5,995.29	Facility		$5,995.29	$5,995.29	$5,995.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,249.19 / $2,628.36 / $4,031.98	Facility		$2,249.19	$2,628.36	$4,031.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $847.69 / $1,186.77 / $1,873.39	Facility		$847.69	$1,186.77	$1,873.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $847.69 / $1,695.66 / $13,250.00	Facility		$847.69	$1,695.66	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $847.69 / $1,183.02 / $1,873.39	Facility		$847.69	$1,183.02	$1,873.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,695.20 / $2,065.54 / $3,083.44	Professional		$1,695.20	$2,065.54	$3,083.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,994.41 / $5,994.41 / $16,547.20	Facility		$5,994.41	$5,994.41	$16,547.20
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00