Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.73 / $625.19 / $8,243.00	Facility		$294.73	$625.19	$8,243.00
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 $1,192.18 / $1,393.16 / $2,137.14	Facility		$1,192.18	$1,393.16	$2,137.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $294.73 / $485.74 / $907.41	Facility		$294.73	$485.74	$907.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.25 / $576.23 / $7,160.00	Facility		$302.25	$576.23	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $294.73 / $485.74 / $907.41	Facility		$294.73	$485.74	$907.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $687.87 / $1,000.66 / $1,474.95	Professional		$687.87	$1,000.66	$1,474.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,417.04 / $1,417.04 / $3,244.77	Facility		$1,417.04	$1,417.04	$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