Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $866.09 / $6,461.00	Facility		$407.81	$866.09	$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 $1,545.42 / $1,805.95 / $2,770.37	Facility		$1,545.42	$1,805.95	$2,770.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $384.93 / $591.55 / $1,183.77	Facility		$384.93	$591.55	$1,183.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.93 / $667.51 / $7,160.00	Facility		$384.93	$667.51	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $384.93 / $591.55 / $1,183.77	Facility		$384.93	$591.55	$1,183.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $932.04 / $1,331.26 / $1,940.37	Professional		$932.04	$1,331.26	$1,940.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,968.16 / $1,968.16 / $3,244.77	Facility		$1,968.16	$1,968.16	$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