Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.28 / $1,917.32 / $14,482.00	Facility		$914.28	$1,917.32	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,426.71 / $2,835.81 / $4,350.20	Facility		$2,426.71	$2,835.81	$4,350.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $852.14 / $1,269.31 / $2,377.13	Facility		$852.14	$1,269.31	$2,377.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $888.37 / $1,917.32 / $5,639.00	Facility		$888.37	$1,917.32	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $852.14 / $1,269.31 / $2,377.13	Facility		$852.14	$1,269.31	$2,377.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,875.90 / $2,285.71 / $3,412.12	Professional		$1,875.90	$2,285.71	$3,412.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $7,817.32	Facility		$2,469.60	$2,469.60	$7,817.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00