Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.54 / $1,525.66 / $14,482.00	Facility		$731.54	$1,525.66	$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 $1,933.80 / $2,259.80 / $3,466.59	Facility		$1,933.80	$2,259.80	$3,466.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $731.54 / $1,084.91 / $1,696.77	Facility		$731.54	$1,084.91	$1,696.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $731.54 / $1,499.41 / $13,250.00	Facility		$731.54	$1,499.41	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $731.54 / $1,049.07 / $1,696.77	Facility		$731.54	$1,049.07	$1,696.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,467.70 / $1,788.34 / $2,669.63	Professional		$1,467.70	$1,788.34	$2,669.63
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