Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.43 / $5,829.16 / $6,461.00	Facility		$417.43	$5,829.16	$6,461.00
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 $1,116.49 / $1,304.70 / $2,001.45	Facility		$1,116.49	$1,304.70	$2,001.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $417.15 / $582.55 / $970.93	Facility		$417.15	$582.55	$970.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $417.15 / $864.92 / $8,296.28	Facility		$417.15	$864.92	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $417.15 / $564.98 / $970.93	Facility		$417.15	$564.98	$970.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $828.10 / $1,009.01 / $1,506.25	Professional		$828.10	$1,009.01	$1,506.25
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