Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.09 / $937.89 / $14,482.00	Facility		$451.09	$937.89	$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 $1,221.92 / $1,427.91 / $2,190.44	Facility		$1,221.92	$1,427.91	$2,190.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $527.78 / $956.31	Facility		$420.00	$527.78	$956.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.90 / $757.72 / $5,261.00	Facility		$423.90	$757.72	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $527.78 / $956.31	Facility		$420.00	$527.78	$956.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $1,087.42 / $1,623.30	Professional		$892.45	$1,087.42	$1,623.30
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