Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.45 / $934.36 / $14,482.00	Facility		$434.45	$934.36	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.16 / $1,372.10 / $2,104.83	Facility		$1,174.16	$1,372.10	$2,104.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $561.30 / $960.13	Facility		$419.98	$561.30	$960.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $885.27 / $11,598.00	Facility		$419.98	$885.27	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $551.35 / $960.13	Facility		$419.98	$551.35	$960.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $897.65 / $1,093.75 / $1,632.76	Professional		$897.65	$1,093.75	$1,632.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00