Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.99 / $1,010.23 / $6,461.00	Facility		$473.99	$1,010.23	$6,461.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $2,198.35	Facility		$2,198.35	$2,198.35	$2,198.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,602.19 / $1,872.29 / $2,872.14	Facility		$1,602.19	$1,872.29	$2,872.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $463.55 / $663.59 / $1,236.09	Facility		$463.55	$663.59	$1,236.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $473.99 / $771.02 / $6,669.00	Facility		$473.99	$771.02	$6,669.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $473.99 / $648.20 / $1,236.09	Facility		$473.99	$648.20	$1,236.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,095.83 / $1,470.54 / $2,093.26	Professional		$1,095.83	$1,470.54	$2,093.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,015.89 / $2,015.89 / $2,922.65	Facility		$2,015.89	$2,015.89	$2,922.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00