Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.31 / $734.85 / $14,482.00	Facility		$346.31	$734.85	$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 $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.56 / $1,090.94 / $1,673.53	Facility		$933.56	$1,090.94	$1,673.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $340.92 / $440.87 / $734.85	Facility		$340.92	$440.87	$734.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.31 / $688.53 / $5,261.00	Facility		$346.31	$688.53	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $340.92 / $431.00 / $734.85	Facility		$340.92	$431.00	$734.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $706.55 / $860.90 / $1,285.16	Professional		$706.55	$860.90	$1,285.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $4,017.35	Facility		$1,455.33	$1,455.33	$4,017.35
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