Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.31 / $856.60 / $14,482.00	Facility		$404.31	$856.60	$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 $1,089.45 / $1,273.10 / $1,952.99	Facility		$1,089.45	$1,273.10	$1,952.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $543.61 / $951.78	Facility		$392.50	$543.61	$951.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $805.49 / $5,261.00	Facility		$392.50	$805.49	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $543.61 / $951.78	Facility		$392.50	$543.61	$951.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $822.90 / $1,002.67 / $1,496.79	Professional		$822.90	$1,002.67	$1,496.79
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