Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.55 / $914.74 / $14,482.00	Facility		$430.55	$914.74	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,157.94 / $1,353.14 / $2,075.76	Facility		$1,157.94	$1,353.14	$2,075.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $430.55 / $602.77 / $951.52	Facility		$430.55	$602.77	$951.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $430.55 / $866.93 / $11,100.00	Facility		$430.55	$866.93	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $430.55 / $588.00 / $951.52	Facility		$430.55	$588.00	$951.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $880.75 / $1,073.16 / $1,602.02	Professional		$880.75	$1,073.16	$1,602.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00