Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.49 / $1,696.68 / $14,482.00	Facility		$808.49	$1,696.68	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
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 $2,151.87 / $2,514.64 / $3,857.52	Facility		$2,151.87	$2,514.64	$3,857.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $808.49 / $1,167.73 / $1,885.20	Facility		$808.49	$1,167.73	$1,885.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $808.49 / $1,667.88 / $11,100.00	Facility		$808.49	$1,667.88	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $808.49 / $1,167.73 / $1,885.20	Facility		$808.49	$1,167.73	$1,885.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,638.65 / $1,996.63 / $2,980.58	Professional		$1,638.65	$1,996.63	$2,980.58
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