Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.57 / $1,400.41 / $14,482.00	Facility		$369.57	$1,400.41	$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 $999.34 / $1,167.81 / $1,791.45	Facility		$999.34	$1,167.81	$1,791.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $369.57 / $510.40 / $873.08	Facility		$369.57	$510.40	$873.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $369.57 / $750.84 / $8,296.28	Facility		$369.57	$750.84	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $369.57 / $510.40 / $873.08	Facility		$369.57	$510.40	$873.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $757.25 / $922.68 / $1,377.38	Professional		$757.25	$922.68	$1,377.38
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