Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.77 / $759.83 / $6,461.00	Facility		$398.77	$759.83	$6,461.00
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 $1,472.43 / $1,720.65 / $2,639.52	Facility		$1,472.43	$1,720.65	$2,639.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $410.10 / $635.01 / $1,151.48	Facility		$410.10	$635.01	$1,151.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.56 / $814.11 / $8,806.00	Facility		$419.56	$814.11	$8,806.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $410.10 / $618.54 / $1,151.48	Facility		$410.10	$618.54	$1,151.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $918.72 / $1,308.11 / $1,906.64	Professional		$918.72	$1,308.11	$1,906.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,948.80 / $1,948.80 / $3,244.77	Facility		$1,948.80	$1,948.80	$3,244.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00