Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.77 / $522.70 / $1,894.00	Facility		$246.77	$522.70	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$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 $1,171.46 / $1,368.94 / $2,099.98	Facility		$1,171.46	$1,368.94	$2,099.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $246.77 / $435.27 / $898.70	Facility		$246.77	$435.27	$898.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.77 / $509.27 / $7,160.00	Facility		$246.77	$509.27	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $246.77 / $435.27 / $898.70	Facility		$246.77	$435.27	$898.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $594.91 / $948.96 / $1,481.70	Professional		$594.91	$948.96	$1,481.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,799.58 / $1,799.58 / $2,469.60	Facility		$1,799.58	$1,799.58	$2,469.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00