Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.52 / $3,637.71 / $17,472.11	Facility		$975.52	$3,637.71	$17,472.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,975.00 / $14,174.00 / $24,485.00	Facility		$5,975.00	$14,174.00	$24,485.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,698.54 / $9,698.54 / $9,698.54	Facility		$9,698.54	$9,698.54	$9,698.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,586.21 / $3,022.20 / $4,636.13	Facility		$2,586.21	$3,022.20	$4,636.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $975.52 / $1,422.42 / $2,274.65	Facility		$975.52	$1,422.42	$2,274.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $975.52 / $2,041.11 / $15,090.00	Facility		$975.52	$2,041.11	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $975.52 / $1,422.42 / $2,274.65	Facility		$975.52	$1,422.42	$2,274.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,970.80 / $2,401.34 / $3,584.73	Professional		$1,970.80	$2,401.34	$3,584.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,143.35 / $9,143.35 / $25,239.65	Facility		$9,143.35	$9,143.35	$25,239.65
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00