Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.50 / $3,451.98 / $12,616.00	Facility		$783.50	$3,451.98	$12,616.00
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 $2,101.41 / $2,455.67 / $3,767.05	Facility		$2,101.41	$2,455.67	$3,767.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $783.50 / $1,174.93 / $1,835.83	Facility		$783.50	$1,174.93	$1,835.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $807.43 / $1,592.72 / $11,100.00	Facility		$807.43	$1,592.72	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $783.50 / $1,174.93 / $1,835.83	Facility		$783.50	$1,174.93	$1,835.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,590.55 / $1,938.02 / $2,893.09	Professional		$1,590.55	$1,938.02	$2,893.09
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