Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.93 / $2,041.07 / $14,482.00	Facility		$983.93	$2,041.07	$14,482.00
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 $2,635.78 / $3,080.11 / $4,724.97	Facility		$2,635.78	$3,080.11	$4,724.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $907.14 / $1,161.14 / $2,267.85	Facility		$907.14	$1,161.14	$2,267.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $907.14 / $1,861.40 / $11,100.00	Facility		$907.14	$1,861.40	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $907.14 / $1,161.14 / $2,267.85	Facility		$907.14	$1,161.14	$2,267.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,954.55 / $2,381.54 / $3,555.18	Professional		$1,954.55	$2,381.54	$3,555.18
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