Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.04 / $701.76 / $2,306.59	Facility		$567.04	$701.76	$2,306.59
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 $1,644.54 / $1,921.78 / $2,948.06	Facility		$1,644.54	$1,921.78	$2,948.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $543.35 / $725.24 / $1,337.43	Facility		$543.35	$725.24	$1,337.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $870.02 / $4,377.80	Facility		$546.00	$870.02	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $543.35 / $713.97 / $1,337.43	Facility		$543.35	$713.97	$1,337.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,251.25 / $1,524.60 / $2,232.19	Professional		$1,251.25	$1,524.60	$2,232.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,760.44 / $2,760.44 / $3,244.77	Facility		$2,760.44	$2,760.44	$3,244.77
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