Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.67 / $1,514.20 / $14,482.00	Facility		$739.67	$1,514.20	$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 $1,978.86 / $2,312.44 / $3,547.36	Facility		$1,978.86	$2,312.44	$3,547.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $672.98 / $865.41 / $1,568.10	Facility		$672.98	$865.41	$1,568.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $672.98 / $1,181.99 / $11,100.00	Facility		$672.98	$1,181.99	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $672.98 / $861.41 / $1,568.10	Facility		$672.98	$861.41	$1,568.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,444.30 / $1,759.82 / $2,523.30	Professional		$1,444.30	$1,759.82	$2,523.30
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 $4,017.00 / $9,953.00 / $12,705.00	Facility		$4,017.00	$9,953.00	$12,705.00