Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.83 / $1,076.96 / $14,482.00	Facility		$508.83	$1,076.96	$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 $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,361.59 / $1,591.13 / $2,440.83	Facility		$1,361.59	$1,591.13	$2,440.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $503.97 / $682.50 / $1,196.63	Facility		$503.97	$682.50	$1,196.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $503.97 / $1,033.84 / $5,261.00	Facility		$503.97	$1,033.84	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $503.97 / $682.50 / $1,196.63	Facility		$503.97	$682.50	$1,196.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,040.65 / $1,267.99 / $1,892.86	Professional		$1,040.65	$1,267.99	$1,892.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $4,017.35	Facility		$1,455.33	$1,455.33	$4,017.35
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