Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.27 / $668.72 / $6,461.00	Facility		$316.27	$668.72	$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 $1,270.58 / $1,484.77 / $2,277.67	Facility		$1,270.58	$1,484.77	$2,277.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.27 / $552.57 / $978.68	Facility		$316.27	$552.57	$978.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.82 / $657.00 / $7,160.00	Facility		$329.82	$657.00	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $316.27 / $542.09 / $978.68	Facility		$316.27	$542.09	$978.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $740.48 / $1,079.98 / $1,591.87	Professional		$740.48	$1,079.98	$1,591.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,511.44 / $1,511.44 / $3,244.77	Facility		$1,511.44	$1,511.44	$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