Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.92 / $853.34 / $14,482.00	Facility		$399.92	$853.34	$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 $1,082.25 / $1,264.69 / $1,940.07	Facility		$1,082.25	$1,264.69	$1,940.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $399.92 / $599.88 / $948.15	Facility		$399.92	$599.88	$948.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $399.92 / $846.03 / $11,100.00	Facility		$399.92	$846.03	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $399.92 / $599.88 / $948.15	Facility		$399.92	$599.88	$948.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $820.95 / $1,000.30 / $1,493.24	Professional		$820.95	$1,000.30	$1,493.24
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