Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $399.51 / $846.65 / $14,482.00	Facility		$399.51	$846.65	$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 $1,076.83 / $1,258.36 / $1,930.37	Facility		$1,076.83	$1,258.36	$1,930.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $399.51 / $564.44 / $846.96	Facility		$399.51	$564.44	$846.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $399.51 / $794.93 / $11,100.00	Facility		$399.51	$794.93	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $399.51 / $559.30 / $846.96	Facility		$399.51	$559.30	$846.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $813.15 / $990.79 / $1,479.06	Professional		$813.15	$990.79	$1,479.06
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 $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00