Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.65 / $817.27 / $14,482.00	Facility		$380.65	$817.27	$14,482.00
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 $1,029.98 / $1,203.60 / $1,846.37	Facility		$1,029.98	$1,203.60	$1,846.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $376.64 / $507.60 / $841.24	Facility		$376.64	$507.60	$841.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.64 / $802.94 / $8,103.00	Facility		$376.64	$802.94	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $376.64 / $507.60 / $841.24	Facility		$376.64	$507.60	$841.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $771.55 / $940.10 / $1,403.39	Professional		$771.55	$940.10	$1,403.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $5,246.20	Facility		$1,900.50	$1,900.50	$5,246.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $7,495.00 / $9,134.00	Facility		$4,103.00	$7,495.00	$9,134.00