Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.61 / $811.42 / $14,482.00	Facility		$386.61	$811.42	$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 $1,019.17 / $1,190.98 / $1,826.99	Facility		$1,019.17	$1,190.98	$1,826.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $386.61 / $540.95 / $901.58	Facility		$386.61	$540.95	$901.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $386.61 / $795.95 / $8,296.28	Facility		$386.61	$795.95	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $386.61 / $540.95 / $901.58	Facility		$386.61	$540.95	$901.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $792.35 / $965.45 / $1,441.22	Professional		$792.35	$965.45	$1,441.22
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