Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.28 / $1,438.67 / $15,660.96	Facility		$379.28	$1,438.67	$15,660.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
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 $1,024.57 / $1,197.30 / $1,836.68	Facility		$1,024.57	$1,197.30	$1,836.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $379.28 / $568.91 / $955.50	Facility		$379.28	$568.91	$955.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $379.28 / $800.72 / $7,891.00	Facility		$379.28	$800.72	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $379.28 / $568.91 / $955.50	Facility		$379.28	$568.91	$955.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $775.45 / $944.86 / $1,410.48	Professional		$775.45	$944.86	$1,410.48
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