Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.92 / $822.17 / $14,482.00	Facility		$385.92	$822.17	$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 $1,042.59 / $1,218.35 / $1,868.99	Facility		$1,042.59	$1,218.35	$1,868.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $385.92 / $554.02 / $913.53	Facility		$385.92	$554.02	$913.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $385.92 / $777.00 / $7,891.00	Facility		$385.92	$777.00	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $385.92 / $554.02 / $913.53	Facility		$385.92	$554.02	$913.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $791.05 / $963.86 / $1,438.86	Professional		$791.05	$963.86	$1,438.86
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00