Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.57 / $1,489.25 / $14,482.00	Facility		$719.57	$1,489.25	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$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 $1,929.30 / $2,254.54 / $3,458.52	Facility		$1,929.30	$2,254.54	$3,458.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $719.57 / $1,053.99 / $1,654.73	Facility		$719.57	$1,053.99	$1,654.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $719.57 / $1,402.78 / $5,639.00	Facility		$719.57	$1,402.78	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $719.57 / $1,053.99 / $1,654.73	Facility		$719.57	$1,053.99	$1,654.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,424.80 / $1,736.06 / $2,591.60	Professional		$1,424.80	$1,736.06	$2,591.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,208.67 / $4,208.67 / $11,617.80	Facility		$4,208.67	$4,208.67	$11,617.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00