Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.93 / $893.84 / $14,482.00	Facility		$422.93	$893.84	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$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 $1,141.72 / $1,334.19 / $2,046.68	Facility		$1,141.72	$1,334.19	$2,046.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $397.26 / $508.49 / $993.15	Facility		$397.26	$508.49	$993.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $397.26 / $822.94 / $8,296.28	Facility		$397.26	$822.94	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $397.26 / $508.49 / $993.15	Facility		$397.26	$508.49	$993.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $857.35 / $1,044.65 / $1,559.45	Professional		$857.35	$1,044.65	$1,559.45
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00