Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $782.53 / $2,873.77 / $22,822.38	Facility		$782.53	$2,873.77	$22,822.38
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 $2,091.50 / $2,444.08 / $3,749.29	Facility		$2,091.50	$2,444.08	$3,749.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $782.53 / $1,095.54 / $1,791.63	Facility		$782.53	$1,095.54	$1,791.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $782.53 / $1,454.50 / $11,100.00	Facility		$782.53	$1,454.50	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $782.53 / $1,095.54 / $1,791.63	Facility		$782.53	$1,095.54	$1,791.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,541.80 / $1,878.62 / $2,804.42	Professional		$1,541.80	$1,878.62	$2,804.42
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00