Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.29 / $1,142.66 / $7,120.23	Facility		$332.29	$1,142.66	$7,120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $822.21 / $822.21 / $822.21	Facility		$822.21	$822.21	$822.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.85 / $1,737.50 / $2,665.37	Facility		$1,486.85	$1,737.50	$2,665.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $339.09 / $575.61 / $1,142.66	Facility		$339.09	$575.61	$1,142.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $351.72 / $696.92 / $3,034.00	Facility		$351.72	$696.92	$3,034.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $339.09 / $575.61 / $1,142.66	Facility		$339.09	$575.61	$1,142.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.73 / $1,231.96 / $1,890.90	Professional		$794.73	$1,231.96	$1,890.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $1,609.64	Facility		$1,455.33	$1,455.33	$1,609.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00