Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.10 / $948.13 / $14,482.00	Facility		$447.10	$948.13	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
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 $1,204.80 / $1,407.90 / $2,159.76	Facility		$1,204.80	$1,407.90	$2,159.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $447.10 / $644.37 / $1,394.16	Facility		$447.10	$644.37	$1,394.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $447.10 / $939.55 / $11,100.00	Facility		$447.10	$939.55	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $447.10 / $644.37 / $1,394.16	Facility		$447.10	$644.37	$1,394.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $915.85 / $1,115.93 / $1,665.86	Professional		$915.85	$1,115.93	$1,665.86
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 $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00