Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.35 / $979.47 / $14,482.00	Facility		$467.35	$979.47	$14,482.00
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 $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 $1,250.75 / $1,461.61 / $2,242.14	Facility		$1,250.75	$1,461.61	$2,242.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $463.58 / $629.42 / $1,088.30	Facility		$463.58	$629.42	$1,088.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.35 / $931.11 / $8,296.28	Facility		$467.35	$931.11	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $463.58 / $629.42 / $1,088.30	Facility		$463.58	$629.42	$1,088.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $945.10 / $1,151.57 / $1,719.06	Professional		$945.10	$1,151.57	$1,719.06
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00