Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.32 / $618.62 / $3,119.00	Facility		$288.32	$618.62	$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 $1,248.05 / $1,458.45 / $2,237.29	Facility		$1,248.05	$1,458.45	$2,237.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.32 / $509.72 / $956.58	Facility		$288.32	$509.72	$956.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.10 / $590.64 / $7,160.00	Facility		$301.10	$590.64	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $288.32 / $498.80 / $956.58	Facility		$288.32	$498.80	$956.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $688.72 / $1,025.45 / $1,559.27	Professional		$688.72	$1,025.45	$1,559.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,397.92 / $1,397.92 / $3,244.77	Facility		$1,397.92	$1,397.92	$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