Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.55 / $559.69 / $14,482.00	Facility		$264.55	$559.69	$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 $701.07 / $819.26 / $1,256.76	Facility		$701.07	$819.26	$1,256.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $264.55 / $376.64 / $621.88	Facility		$264.55	$376.64	$621.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $264.55 / $549.78 / $8,296.28	Facility		$264.55	$549.78	$8,296.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $264.55 / $376.64 / $621.88	Facility		$264.55	$376.64	$621.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $536.90 / $654.19 / $976.58	Professional		$536.90	$654.19	$976.58
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 $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00