Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.86 / $727.70 / $14,482.00	Facility		$343.86	$727.70	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $925.45 / $1,081.46 / $1,658.99	Facility		$925.45	$1,081.46	$1,658.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $343.86 / $459.23 / $808.55	Facility		$343.86	$459.23	$808.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.86 / $678.38 / $7,891.00	Facility		$343.86	$678.38	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $343.86 / $459.23 / $808.55	Facility		$343.86	$459.23	$808.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $700.05 / $852.98 / $1,273.33	Professional		$700.05	$852.98	$1,273.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
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