Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.05 / $847.22 / $14,482.00	Facility		$399.05	$847.22	$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 $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,072.33 / $1,253.10 / $1,922.30	Facility		$1,072.33	$1,253.10	$1,922.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $376.54 / $510.16 / $941.35	Facility		$376.54	$510.16	$941.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $392.04 / $806.95 / $7,891.00	Facility		$392.04	$806.95	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $376.54 / $510.16 / $941.35	Facility		$376.54	$510.16	$941.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $823.55 / $1,003.46 / $1,497.97	Professional		$823.55	$1,003.46	$1,497.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
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