Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.74 / $821.32 / $14,482.00	Facility		$392.74	$821.32	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
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 $1,045.30 / $1,221.51 / $1,873.84	Facility		$1,045.30	$1,221.51	$1,873.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $365.03 / $464.93 / $867.96	Facility		$365.03	$464.93	$867.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $365.84 / $784.81 / $7,891.00	Facility		$365.84	$784.81	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $365.03 / $459.51 / $867.96	Facility		$365.03	$459.51	$867.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $774.80 / $944.06 / $1,409.30	Professional		$774.80	$944.06	$1,409.30
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 $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00