Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.91 / $893.14 / $14,482.00	Facility		$430.91	$893.14	$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 $1,175.96 / $1,374.20 / $2,108.06	Facility		$1,175.96	$1,374.20	$2,108.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $420.11 / $530.11 / $952.31	Facility		$420.11	$530.11	$952.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $430.91 / $853.44 / $5,261.00	Facility		$430.91	$853.44	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $420.11 / $530.11 / $952.31	Facility		$420.11	$530.11	$952.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $850.20 / $1,035.94 / $1,546.45	Professional		$850.20	$1,035.94	$1,546.45
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 $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00