Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.46 / $973.69 / $1,899.84	Facility		$415.46	$973.69	$1,899.84
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 $1,248.05 / $1,458.45 / $2,237.29	Facility		$1,248.05	$1,458.45	$2,237.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $400.57 / $526.76 / $973.69	Facility		$400.57	$526.76	$973.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $415.46 / $623.19 / $1,513.00	Facility		$415.46	$623.19	$1,513.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $400.57 / $519.29 / $973.69	Facility		$400.57	$519.29	$973.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,140.48 / $1,635.26	Professional		$936.00	$1,140.48	$1,635.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $2,017.12	Facility		$1,722.47	$1,722.47	$2,017.12
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