Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.09 / $1,729.24 / $3,081.89	Facility		$1,008.09	$1,729.24	$3,081.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,835.00 / $7,344.00	Facility		$2,740.00	$4,835.00	$7,344.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $867.00 / $1,354.59 / $1,354.59	Facility		$867.00	$1,354.59	$1,354.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,166.29 / $2,531.48 / $4,083.19	Facility		$2,166.29	$2,531.48	$4,083.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $922.26 / $1,183.55 / $4,539.54	Facility		$922.26	$1,183.55	$4,539.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $922.26 / $2,429.00 / $7,700.00	Facility		$922.26	$2,429.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $922.26 / $1,183.55 / $4,539.54	Facility		$922.26	$1,183.55	$4,539.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,768.65 / $2,445.63 / $3,089.97	Professional		$1,768.65	$2,445.63	$3,089.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,305.36 / $8,305.36 / $8,305.36	Facility		$8,305.36	$8,305.36	$8,305.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00