Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.15 / $937.31 / $14,482.00	Facility		$435.15	$937.31	$14,482.00
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 $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 $1,197.58 / $1,399.48 / $2,146.83	Facility		$1,197.58	$1,399.48	$2,146.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $568.79 / $1,041.45	Facility		$427.13	$568.79	$1,041.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $435.15 / $922.52 / $5,261.00	Facility		$435.15	$922.52	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $542.13 / $1,041.45	Facility		$427.13	$542.13	$1,041.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $1,089.79 / $1,625.33	Professional		$894.40	$1,089.79	$1,625.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00