Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.46 / $956.61 / $14,482.00	Facility		$463.46	$956.61	$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 $1,245.34 / $1,455.29 / $2,232.44	Facility		$1,245.34	$1,455.29	$2,232.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $425.16 / $542.25 / $982.54	Facility		$425.16	$542.25	$982.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $425.16 / $774.79 / $5,261.00	Facility		$425.16	$774.79	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $425.16 / $542.25 / $982.54	Facility		$425.16	$542.25	$982.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $911.95 / $1,111.18 / $1,658.77	Professional		$911.95	$1,111.18	$1,658.77
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 $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00