Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.44 / $2,067.53 / $14,482.00	Facility		$995.44	$2,067.53	$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 $8,575.27 / $8,575.27 / $8,575.27	Facility		$8,575.27	$8,575.27	$8,575.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,642.08 / $3,087.48 / $4,736.28	Facility		$2,642.08	$3,087.48	$4,736.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $995.44 / $1,323.41 / $2,297.25	Facility		$995.44	$1,323.41	$2,297.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $995.44 / $2,067.53 / $13,250.00	Facility		$995.44	$2,067.53	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $995.44 / $1,323.41 / $2,297.25	Facility		$995.44	$1,323.41	$2,297.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,966.25 / $2,395.80 / $3,576.46	Professional		$1,966.25	$2,395.80	$3,576.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,490.87 / $8,490.87 / $23,438.60	Facility		$8,490.87	$8,490.87	$23,438.60
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