Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.89 / $758.03 / $8,243.00	Facility		$353.89	$758.03	$8,243.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,153.66 / $2,153.66 / $2,153.66	Facility		$2,153.66	$2,153.66	$2,153.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.06 / $1,650.10 / $2,531.29	Facility		$1,412.06	$1,650.10	$2,531.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $356.21 / $587.04 / $1,109.40	Facility		$356.21	$587.04	$1,109.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.61 / $733.80 / $6,710.40	Facility		$368.61	$733.80	$6,710.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $356.21 / $587.04 / $1,109.40	Facility		$356.21	$587.04	$1,109.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $844.96 / $1,220.32 / $1,798.72	Professional		$844.96	$1,220.32	$1,798.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,700.64 / $1,700.64 / $1,900.50	Facility		$1,700.64	$1,700.64	$1,900.50
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00