Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.19 / $963.68 / $14,482.00	Facility		$466.19	$963.68	$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 $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 $428.30 / $545.44 / $988.32	Facility		$428.30	$545.44	$988.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.30 / $781.28 / $5,639.00	Facility		$428.30	$781.28	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $428.30 / $545.44 / $988.32	Facility		$428.30	$545.44	$988.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $918.45 / $1,119.09 / $1,670.59	Professional		$918.45	$1,119.09	$1,670.59
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 $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00