Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.85 / $948.13 / $14,482.00	Facility		$446.85	$948.13	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
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 $1,202.08 / $1,404.74 / $2,154.91	Facility		$1,202.08	$1,404.74	$2,154.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $446.85 / $643.99 / $978.56	Facility		$446.85	$643.99	$978.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.85 / $906.96 / $14,246.00	Facility		$446.85	$906.96	$14,246.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $446.85 / $643.14 / $978.56	Facility		$446.85	$643.14	$978.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $919.10 / $1,119.89 / $1,671.77	Professional		$919.10	$1,119.89	$1,671.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00