Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.03 / $1,471.41 / $14,482.00	Facility		$707.03	$1,471.41	$14,482.00
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 $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 $1,889.65 / $2,208.19 / $3,387.44	Facility		$1,889.65	$2,208.19	$3,387.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.03 / $970.55 / $1,634.90	Facility		$707.03	$970.55	$1,634.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.03 / $1,456.20 / $8,292.34	Facility		$707.03	$1,456.20	$8,292.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $707.03 / $929.18 / $1,634.90	Facility		$707.03	$929.18	$1,634.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,404.65 / $1,711.51 / $2,554.94	Professional		$1,404.65	$1,711.51	$2,554.94
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 $4,614.00 / $7,495.00 / $9,134.00	Facility		$4,614.00	$7,495.00	$9,134.00