Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.51 / $2,030.22 / $14,482.00	Facility		$969.51	$2,030.22	$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 $2,564.59 / $2,996.92 / $4,597.35	Facility		$2,564.59	$2,996.92	$4,597.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $969.51 / $1,454.27 / $2,255.80	Facility		$969.51	$1,454.27	$2,255.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $969.51 / $1,986.30 / $5,639.00	Facility		$969.51	$1,986.30	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $969.51 / $1,454.27 / $2,255.80	Facility		$969.51	$1,454.27	$2,255.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,003.95 / $2,441.73 / $3,645.03	Professional		$2,003.95	$2,441.73	$3,645.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $7,122.66	Facility		$2,469.60	$2,469.60	$7,122.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00