Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.48 / $1,649.74 / $14,482.00	Facility		$790.48	$1,649.74	$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 $2,105.02 / $2,459.88 / $3,773.52	Facility		$2,105.02	$2,459.88	$3,773.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $790.48 / $1,099.83 / $1,833.05	Facility		$790.48	$1,099.83	$1,833.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $790.48 / $1,627.44 / $13,250.00	Facility		$790.48	$1,627.44	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $790.48 / $1,099.83 / $1,833.05	Facility		$790.48	$1,099.83	$1,833.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,568.45 / $1,911.10 / $2,852.89	Professional		$1,568.45	$1,911.10	$2,852.89
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 $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00