Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.66 / $747.63 / $3,119.00	Facility		$350.66	$747.63	$3,119.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,478.74 / $1,728.02 / $2,650.83	Facility		$1,478.74	$1,728.02	$2,650.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $350.66 / $568.23 / $1,143.95	Facility		$350.66	$568.23	$1,143.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.25 / $683.84 / $4,377.80	Facility		$367.25	$683.84	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $359.90 / $568.23 / $1,143.95	Facility		$359.90	$568.23	$1,143.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $841.26 / $1,275.23 / $1,879.66	Professional		$841.26	$1,275.23	$1,879.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $2,554.92	Facility		$2,469.60	$2,469.60	$2,554.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00