Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.75 / $726.17 / $6,461.00	Facility		$339.75	$726.17	$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 $1,359.79 / $1,589.02 / $2,437.60	Facility		$1,359.79	$1,589.02	$2,437.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $339.75 / $549.12 / $1,055.60	Facility		$339.75	$549.12	$1,055.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $347.43 / $651.00 / $7,160.00	Facility		$347.43	$651.00	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $339.75 / $547.73 / $1,055.60	Facility		$339.75	$547.73	$1,055.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $806.07 / $1,166.93 / $1,720.03	Professional		$806.07	$1,166.93	$1,720.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,627.28 / $1,627.28 / $7,213.88	Facility		$1,627.28	$1,627.28	$7,213.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $7,280.00 / $9,035.00	Facility		$4,103.00	$7,280.00	$9,035.00