Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.23 / $755.01 / $3,119.00	Facility		$363.23	$755.01	$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 $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 $1,449.00 / $1,693.27 / $2,597.52	Facility		$1,449.00	$1,693.27	$2,597.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $367.27 / $586.80 / $1,099.08	Facility		$367.27	$586.80	$1,099.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.14 / $720.93 / $7,160.00	Facility		$376.14	$720.93	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $367.27 / $586.80 / $1,099.08	Facility		$367.27	$586.80	$1,099.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $843.44 / $1,220.32 / $1,798.72	Professional		$843.44	$1,220.32	$1,798.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,732.32 / $1,732.32 / $3,244.77	Facility		$1,732.32	$1,732.32	$3,244.77
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