Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.84 / $1,047.83 / $4,107.84	Facility		$493.84	$1,047.83	$4,107.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
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 $1,487.75 / $1,738.55 / $2,666.98	Facility		$1,487.75	$1,738.55	$2,666.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $633.98 / $1,164.25	Facility		$472.50	$633.98	$1,164.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.20 / $774.35 / $1,627.29	Facility		$475.20	$774.35	$1,627.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $622.26 / $1,164.25	Facility		$472.50	$622.26	$1,164.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,121.25 / $1,366.20 / $1,958.91	Professional		$1,121.25	$1,366.20	$1,958.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $3,014.15	Facility		$1,722.47	$1,722.47	$3,014.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90