Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.20 / $827.03 / $13,367.00	Facility		$390.20	$827.03	$13,367.00
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 $1,553.53 / $1,815.42 / $2,784.91	Facility		$1,553.53	$1,815.42	$2,784.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $390.20 / $603.64 / $1,205.24	Facility		$390.20	$603.64	$1,205.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $400.91 / $754.08 / $7,160.00	Facility		$400.91	$754.08	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $390.20 / $603.64 / $1,205.24	Facility		$390.20	$603.64	$1,205.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $941.05 / $1,356.38 / $1,997.70	Professional		$941.05	$1,356.38	$1,997.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,363.65 / $2,363.65 / $2,469.60	Facility		$2,363.65	$2,363.65	$2,469.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,267.94 / $6,477.00 / $8,384.00	Facility		$2,267.94	$6,477.00	$8,384.00