Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.32 / $854.98 / $3,119.00	Facility		$407.32	$854.98	$3,119.00
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 $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,570.65 / $1,835.43 / $2,815.60	Facility		$1,570.65	$1,835.43	$2,815.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $407.32 / $602.94 / $1,195.77	Facility		$407.32	$602.94	$1,195.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.32 / $682.52 / $7,160.00	Facility		$407.32	$682.52	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $407.32 / $602.94 / $1,195.77	Facility		$407.32	$602.94	$1,195.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $948.24 / $1,354.40 / $1,974.10	Professional		$948.24	$1,354.40	$1,974.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,967.68 / $1,967.68 / $2,469.60	Facility		$1,967.68	$1,967.68	$2,469.60
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