Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.54 / $1,224.20 / $14,482.00	Facility		$581.54	$1,224.20	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,669.32 / $2,669.32 / $2,669.32	Facility		$2,669.32	$2,669.32	$2,669.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,570.65 / $1,835.43 / $2,815.60	Facility		$1,570.65	$1,835.43	$2,815.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $572.67 / $732.17 / $1,285.23	Facility		$572.67	$732.17	$1,285.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $572.67 / $1,188.60 / $13,120.00	Facility		$572.67	$1,188.60	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $572.67 / $706.55 / $1,285.23	Facility		$572.67	$706.55	$1,285.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,153.09 / $1,405.01 / $2,097.40	Professional		$1,153.09	$1,405.01	$2,097.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,865.24 / $2,865.24 / $7,909.30	Facility		$2,865.24	$2,865.24	$7,909.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00