Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.55 / $5,037.32 / $8,813.86	Facility		$322.55	$5,037.32	$8,813.86
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 $874.99 / $1,022.49 / $1,568.53	Facility		$874.99	$1,022.49	$1,568.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $322.55 / $463.48 / $765.13	Facility		$322.55	$463.48	$765.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $322.55 / $633.69 / $7,891.00	Facility		$322.55	$633.69	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $322.55 / $463.48 / $765.13	Facility		$322.55	$463.48	$765.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.40 / $804.67 / $1,201.22	Professional		$660.40	$804.67	$1,201.22
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