Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.55 / $1,901.63 / $8,724.60	Facility		$930.55	$1,901.63	$8,724.60
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 $2,956.57 / $3,454.99 / $5,300.05	Facility		$2,956.57	$3,454.99	$5,300.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.95 / $1,281.08 / $2,250.81	Facility		$912.95	$1,281.08	$2,250.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $913.33 / $1,509.43 / $12,202.00	Facility		$913.33	$1,509.43	$12,202.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $912.95 / $1,271.22 / $2,250.81	Facility		$912.95	$1,271.22	$2,250.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,011.41 / $2,562.91 / $3,600.13	Professional		$2,011.41	$2,562.91	$3,600.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,994.41 / $5,994.41 / $6,565.62	Facility		$5,994.41	$5,994.41	$6,565.62
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