Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.74 / $2,086.58 / $14,482.00	Facility		$993.74	$2,086.58	$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 $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,628.57 / $3,071.69 / $4,712.05	Facility		$2,628.57	$3,071.69	$4,712.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $993.74 / $1,391.06 / $2,318.42	Facility		$993.74	$1,391.06	$2,318.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $993.74 / $2,044.22 / $5,639.00	Facility		$993.74	$2,044.22	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $993.74 / $1,389.51 / $2,318.42	Facility		$993.74	$1,389.51	$2,318.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,054.00 / $2,502.71 / $3,736.07	Professional		$2,054.00	$2,502.71	$3,736.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
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