Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.45 / $778.37 / $14,482.00	Facility		$362.45	$778.37	$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 $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 $978.62 / $1,143.58 / $1,754.30	Facility		$978.62	$1,143.58	$1,754.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $362.45 / $453.04 / $781.60	Facility		$362.45	$453.04	$781.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $362.45 / $711.79 / $7,891.00	Facility		$362.45	$711.79	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $362.45 / $446.41 / $781.60	Facility		$362.45	$446.41	$781.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $748.80 / $912.38 / $1,362.01	Professional		$748.80	$912.38	$1,362.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
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