Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.35 / $459.41 / $6,461.00	Facility		$216.35	$459.41	$6,461.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,160.64 / $1,356.30 / $2,080.60	Facility		$1,160.64	$1,356.30	$2,080.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $215.88 / $430.62 / $865.40	Facility		$215.88	$430.62	$865.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.35 / $454.19 / $7,160.00	Facility		$216.35	$454.19	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $216.35 / $430.62 / $865.40	Facility		$216.35	$430.62	$865.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $522.45 / $840.25 / $1,453.59	Professional		$522.45	$840.25	$1,453.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,577.40 / $1,577.40 / $2,469.60	Facility		$1,577.40	$1,577.40	$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