Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $820.84 / $6,067.65 / $9,941.43	Facility		$820.84	$6,067.65	$9,941.43
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 $2,201.44 / $2,572.55 / $3,946.36	Facility		$2,201.44	$2,572.55	$3,946.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $820.84 / $1,149.18 / $1,932.98	Facility		$820.84	$1,149.18	$1,932.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $820.84 / $1,665.95 / $11,100.00	Facility		$820.84	$1,665.95	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $820.84 / $1,149.18 / $1,932.98	Facility		$820.84	$1,149.18	$1,932.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,677.65 / $2,044.15 / $3,051.52	Professional		$1,677.65	$2,044.15	$3,051.52
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