Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.83 / $940.23 / $14,482.00	Facility		$445.83	$940.23	$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 $1,194.89 / $1,396.32 / $2,141.98	Facility		$1,194.89	$1,396.32	$2,141.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $445.83 / $573.95 / $956.32	Facility		$445.83	$573.95	$956.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $445.83 / $898.44 / $8,296.28	Facility		$445.83	$898.44	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $445.83 / $572.79 / $956.32	Facility		$445.83	$572.79	$956.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $908.70 / $1,107.22 / $1,652.86	Professional		$908.70	$1,107.22	$1,652.86
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00