Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.93 / $770.65 / $3,119.00	Facility		$357.93	$770.65	$3,119.00
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 $1,531.90 / $1,790.15 / $2,746.14	Facility		$1,531.90	$1,790.15	$2,746.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $353.25 / $564.13 / $1,185.38	Facility		$353.25	$564.13	$1,185.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $353.25 / $690.59 / $7,160.00	Facility		$353.25	$690.59	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $353.25 / $564.13 / $1,185.38	Facility		$353.25	$564.13	$1,185.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $874.05 / $1,301.40 / $1,956.11	Professional		$874.05	$1,301.40	$1,956.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $2,628.78	Facility		$2,469.60	$2,469.60	$2,628.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00