Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.51 / $995.90 / $14,482.00	Facility		$469.51	$995.90	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,261.57 / $1,474.24 / $2,261.53	Facility		$1,261.57	$1,474.24	$2,261.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $469.51 / $663.93 / $1,051.90	Facility		$469.51	$663.93	$1,051.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $469.51 / $984.55 / $11,100.00	Facility		$469.51	$984.55	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $469.51 / $657.31 / $1,051.90	Facility		$469.51	$657.31	$1,051.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $963.95 / $1,174.54 / $1,753.35	Professional		$963.95	$1,174.54	$1,753.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00