Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.31 / $871.83 / $14,482.00	Facility		$413.31	$871.83	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
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 $1,108.38 / $1,295.23 / $1,986.91	Facility		$1,108.38	$1,295.23	$1,986.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $413.31 / $558.26 / $876.22	Facility		$413.31	$558.26	$876.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $413.31 / $833.08 / $5,639.00	Facility		$413.31	$833.08	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $413.31 / $532.78 / $876.22	Facility		$413.31	$532.78	$876.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $840.45 / $1,024.06 / $1,528.71	Professional		$840.45	$1,024.06	$1,528.71
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 $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00