Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.66 / $989.12 / $14,482.00	Facility		$465.66	$989.12	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$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 $1,253.46 / $1,464.76 / $2,246.98	Facility		$1,253.46	$1,464.76	$2,246.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $455.30 / $629.94 / $1,099.03	Facility		$455.30	$629.94	$1,099.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.30 / $933.81 / $11,100.00	Facility		$455.30	$933.81	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $455.30 / $629.94 / $1,099.03	Facility		$455.30	$629.94	$1,099.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $953.55 / $1,161.85 / $1,734.43	Professional		$953.55	$1,161.85	$1,734.43
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