Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.61 / $6,461.00 / $8,974.98	Facility		$929.61	$6,461.00	$8,974.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $8,746.00 / $15,579.70	Facility		$5,479.00	$8,746.00	$15,579.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $429.71 / $537.50 / $649.28	Facility		$429.71	$537.50	$649.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,171.46 / $1,368.94 / $2,099.98	Facility		$1,171.46	$1,368.94	$2,099.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $434.77 / $531.40 / $921.95	Facility		$434.77	$531.40	$921.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $432.94 / $639.91 / $7,990.47	Facility		$432.94	$639.91	$7,990.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $432.94 / $545.04 / $935.00	Facility		$432.94	$545.04	$935.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $817.20 / $1,089.86 / $1,888.80	Professional		$817.20	$1,089.86	$1,888.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $519.91 / $20,163.75 / $20,163.75	Facility		$519.91	$20,163.75	$20,163.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00