Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.77 / $861.77 / $6,461.00	Facility		$403.77	$861.77	$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 $1,567.05 / $1,831.22 / $2,809.14	Facility		$1,567.05	$1,831.22	$2,809.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $410.07 / $646.13 / $1,209.55	Facility		$410.07	$646.13	$1,209.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $420.07 / $744.75 / $7,160.00	Facility		$420.07	$744.75	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $410.07 / $637.49 / $1,209.55	Facility		$410.07	$637.49	$1,209.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $956.34 / $1,365.97 / $1,990.96	Professional		$956.34	$1,365.97	$1,990.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,952.36 / $1,952.36 / $3,244.77	Facility		$1,952.36	$1,952.36	$3,244.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00