Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.56 / $1,420.07 / $3,276.89	Facility		$660.56	$1,420.07	$3,276.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $11,302.00	Facility		$2,740.00	$4,780.00	$11,302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,298.76 / $2,686.28 / $4,120.82	Facility		$2,298.76	$2,686.28	$4,120.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $674.17 / $1,072.08 / $1,826.97	Facility		$674.17	$1,072.08	$1,826.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $702.79 / $1,256.00 / $11,733.00	Facility		$702.79	$1,256.00	$11,733.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $674.17 / $1,072.08 / $1,826.97	Facility		$674.17	$1,072.08	$1,826.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,547.07 / $2,126.60 / $3,030.84	Professional		$1,547.07	$2,126.60	$3,030.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $3,171.45	Facility		$1,722.47	$1,722.47	$3,171.45
United Facility/Professional Facility Modifier Low / Median / High Price $5,729.00 / $11,608.00 / $13,980.00	Facility		$5,729.00	$11,608.00	$13,980.00