Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.77 / $1,468.73 / $14,482.00	Facility		$698.77	$1,468.73	$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 $1,829.27 / $2,137.65 / $3,279.21	Facility		$1,829.27	$2,137.65	$3,279.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $698.77 / $1,048.16 / $1,816.80	Facility		$698.77	$1,048.16	$1,816.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $698.77 / $1,436.63 / $5,261.00	Facility		$698.77	$1,436.63	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $698.77 / $1,044.43 / $1,816.80	Facility		$698.77	$1,044.43	$1,816.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,394.90 / $1,699.63 / $2,537.21	Professional		$1,394.90	$1,699.63	$2,537.21
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