Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.54 / $686.23 / $14,482.00	Facility		$323.54	$686.23	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
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 $873.19 / $1,020.39 / $1,565.30	Facility		$873.19	$1,020.39	$1,565.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $409.30 / $686.23	Facility		$314.00	$409.30	$686.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $636.78 / $5,261.00	Facility		$314.00	$636.78	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $398.72 / $686.23	Facility		$314.00	$398.72	$686.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $659.10 / $803.09 / $1,198.84	Professional		$659.10	$803.09	$1,198.84
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