Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.34 / $845.62 / $6,461.00	Facility		$401.34	$845.62	$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 $1,528.30 / $1,785.94 / $2,739.68	Facility		$1,528.30	$1,785.94	$2,739.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $375.83 / $601.33 / $1,161.10	Facility		$375.83	$601.33	$1,161.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $375.83 / $691.11 / $7,160.00	Facility		$375.83	$691.11	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $375.83 / $595.71 / $1,161.10	Facility		$375.83	$595.71	$1,161.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $909.90 / $1,299.64 / $1,894.28	Professional		$909.90	$1,299.64	$1,894.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,938.92 / $1,938.92 / $3,244.77	Facility		$1,938.92	$1,938.92	$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