Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.13 / $893.99 / $3,565.20	Facility		$334.13	$893.99	$3,565.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.93 / $1,342.61 / $2,059.60	Facility		$1,148.93	$1,342.61	$2,059.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $319.18 / $467.78 / $890.81	Facility		$319.18	$467.78	$890.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $334.13 / $539.78 / $4,292.39	Facility		$334.13	$539.78	$4,292.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $331.83 / $459.87 / $890.81	Facility		$331.83	$459.87	$890.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $759.60 / $1,038.06 / $1,479.45	Professional		$759.60	$1,038.06	$1,479.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,622.00 / $1,622.00 / $1,722.47	Facility		$1,622.00	$1,622.00	$1,722.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00