Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.86 / $1,648.42 / $14,482.00	Facility		$779.86	$1,648.42	$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 $2,057.26 / $2,404.07 / $3,687.90	Facility		$2,057.26	$2,404.07	$3,687.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $779.86 / $1,075.38 / $1,723.49	Facility		$779.86	$1,075.38	$1,723.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $779.86 / $1,614.07 / $11,100.00	Facility		$779.86	$1,614.07	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $779.86 / $1,058.49 / $1,723.49	Facility		$779.86	$1,058.49	$1,723.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,617.85 / $1,971.29 / $2,942.74	Professional		$1,617.85	$1,971.29	$2,942.74
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 $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00