Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.72 / $898.45 / $14,482.00	Facility		$428.72	$898.45	$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 $1,146.22 / $1,339.45 / $2,054.76	Facility		$1,146.22	$1,339.45	$2,054.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $428.72 / $580.79 / $947.47	Facility		$428.72	$580.79	$947.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.72 / $885.26 / $8,296.28	Facility		$428.72	$885.26	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $428.72 / $563.66 / $947.47	Facility		$428.72	$563.66	$947.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $869.70 / $1,059.70 / $1,581.92	Professional		$869.70	$1,059.70	$1,581.92
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