Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.26 / $1,827.46 / $8,243.00	Facility		$418.26	$1,827.46	$8,243.00
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 $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,840.82 / $5,656.88 / $8,677.79	Facility		$4,840.82	$5,656.88	$8,677.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $423.88 / $1,594.08 / $3,627.48	Facility		$423.88	$1,594.08	$3,627.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $433.75 / $1,912.90 / $9,837.00	Facility		$433.75	$1,912.90	$9,837.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $423.88 / $1,594.08 / $3,627.48	Facility		$423.88	$1,594.08	$3,627.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $985.41 / $1,903.51 / $5,832.35	Professional		$985.41	$1,903.51	$5,832.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,195.44 / $3,195.44 / $3,244.77	Facility		$3,195.44	$3,195.44	$3,244.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00