Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.93 / $1,396.84 / $14,482.00	Facility		$663.93	$1,396.84	$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 $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 $1,761.69 / $2,058.67 / $3,158.06	Facility		$1,761.69	$2,058.67	$3,158.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $663.93 / $880.00 / $1,467.29	Facility		$663.93	$880.00	$1,467.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $663.93 / $1,357.46 / $7,891.00	Facility		$663.93	$1,357.46	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $663.93 / $859.26 / $1,467.29	Facility		$663.93	$859.26	$1,467.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,357.20 / $1,653.70 / $2,468.64	Professional		$1,357.20	$1,653.70	$2,468.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,798.02	Facility		$1,722.47	$1,722.47	$4,798.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00