Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.55 / $905.67 / $13,510.20	Facility		$426.55	$905.67	$13,510.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,594.08 / $1,862.81 / $2,857.60	Facility		$1,594.08	$1,862.81	$2,857.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.55 / $686.78 / $1,239.28	Facility		$426.55	$686.78	$1,239.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $439.65 / $840.00 / $7,160.00	Facility		$439.65	$840.00	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $426.55 / $683.86 / $1,239.28	Facility		$426.55	$683.86	$1,239.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $975.24 / $1,392.97 / $2,030.31	Professional		$975.24	$1,392.97	$2,030.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,029.52 / $2,029.52 / $9,722.19	Facility		$2,029.52	$2,029.52	$9,722.19
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