Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.90 / $915.03 / $14,482.00	Facility		$433.90	$915.03	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $6,787.00 / $10,517.23	Facility		$1,183.00	$6,787.00	$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 $1,169.65 / $1,366.83 / $2,096.76	Facility		$1,169.65	$1,366.83	$2,096.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $433.90 / $552.60 / $958.92	Facility		$433.90	$552.60	$958.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $433.90 / $905.15 / $5,801.00	Facility		$433.90	$905.15	$5,801.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $433.90 / $552.60 / $958.92	Facility		$433.90	$552.60	$958.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $884.65 / $1,077.91 / $1,609.11	Professional		$884.65	$1,077.91	$1,609.11
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 $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00