Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.17 / $579.33 / $3,119.00	Facility		$246.17	$579.33	$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 $1,372.41 / $1,603.76 / $2,460.21	Facility		$1,372.41	$1,603.76	$2,460.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $246.17 / $463.34 / $999.83	Facility		$246.17	$463.34	$999.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.01 / $544.04 / $7,160.00	Facility		$248.01	$544.04	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $246.17 / $463.34 / $999.83	Facility		$246.17	$463.34	$999.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $651.35 / $987.35 / $1,707.66	Professional		$651.35	$987.35	$1,707.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,314.24 / $1,314.24 / $3,244.77	Facility		$1,314.24	$1,314.24	$3,244.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00