Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.66 / $1,244.18 / $3,783.96	Facility		$598.66	$1,244.18	$3,783.96
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 $2,804.29 / $3,277.03 / $5,027.05	Facility		$2,804.29	$3,277.03	$5,027.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $599.85 / $1,085.47 / $2,126.14	Facility		$599.85	$1,085.47	$2,126.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $613.79 / $1,240.24 / $10,230.00	Facility		$613.79	$1,240.24	$10,230.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $599.85 / $1,085.47 / $2,126.14	Facility		$599.85	$1,085.47	$2,126.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,391.93 / $2,147.54 / $3,470.41	Professional		$1,391.93	$2,147.54	$3,470.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,845.84 / $2,845.84 / $3,244.77	Facility		$2,845.84	$2,845.84	$3,244.77
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