Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.70 / $2,579.87 / $14,482.00	Facility		$685.70	$2,579.87	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
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 $1,831.98 / $2,140.81 / $3,284.06	Facility		$1,831.98	$2,140.81	$3,284.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $685.70 / $1,028.55 / $1,515.40	Facility		$685.70	$1,028.55	$1,515.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $685.70 / $1,407.64 / $11,100.00	Facility		$685.70	$1,407.64	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $685.70 / $991.80 / $1,515.40	Facility		$685.70	$991.80	$1,515.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,404.65 / $1,711.51 / $2,554.94	Professional		$1,404.65	$1,711.51	$2,554.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
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