Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.11 / $858.47 / $6,461.00	Facility		$401.11	$858.47	$6,461.00
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 $1,545.42 / $1,805.95 / $2,770.37	Facility		$1,545.42	$1,805.95	$2,770.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $401.11 / $669.08 / $1,212.33	Facility		$401.11	$669.08	$1,212.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $415.20 / $843.08 / $7,160.00	Facility		$415.20	$843.08	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $401.11 / $669.08 / $1,212.33	Facility		$401.11	$669.08	$1,212.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $945.54 / $1,346.84 / $1,968.47	Professional		$945.54	$1,346.84	$1,968.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,918.16 / $1,918.16 / $3,244.77	Facility		$1,918.16	$1,918.16	$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