Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.94 / $713.09 / $14,482.00	Facility		$335.94	$713.09	$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 $905.63 / $1,058.30 / $1,623.45	Facility		$905.63	$1,058.30	$1,623.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $335.94 / $455.30 / $713.09	Facility		$335.94	$455.30	$713.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.94 / $661.44 / $5,639.00	Facility		$335.94	$661.44	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $335.94 / $455.30 / $713.09	Facility		$335.94	$455.30	$713.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $685.10 / $834.77 / $1,246.14	Professional		$685.10	$834.77	$1,246.14
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 $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00