Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.26 / $716.65 / $3,119.00	Facility		$344.26	$716.65	$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 $1,352.58 / $1,580.60 / $2,424.67	Facility		$1,352.58	$1,580.60	$2,424.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $344.26 / $516.39 / $1,025.94	Facility		$344.26	$516.39	$1,025.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $353.82 / $603.00 / $7,160.00	Facility		$353.82	$603.00	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $344.26 / $516.39 / $1,025.94	Facility		$344.26	$516.39	$1,025.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $792.34 / $1,139.75 / $1,673.93	Professional		$792.34	$1,139.75	$1,673.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,636.60 / $1,636.60 / $3,244.77	Facility		$1,636.60	$1,636.60	$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