Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.40 / $832.68 / $14,482.00	Facility		$394.40	$832.68	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,669.32 / $2,669.32 / $2,669.32	Facility		$2,669.32	$2,669.32	$2,669.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,069.63 / $1,249.95 / $1,917.45	Facility		$1,069.63	$1,249.95	$1,917.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $493.06 / $925.20	Facility		$391.14	$493.06	$925.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $795.67 / $5,639.00	Facility		$391.14	$795.67	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $391.14 / $477.06 / $925.20	Facility		$391.14	$477.06	$925.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $959.11 / $1,431.77	Professional		$787.15	$959.11	$1,431.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,865.24 / $2,865.24 / $7,909.30	Facility		$2,865.24	$2,865.24	$7,909.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00