Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.79 / $1,571.11 / $14,482.00	Facility		$740.79	$1,571.11	$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 $1,983.37 / $2,317.71 / $3,555.44	Facility		$1,983.37	$2,317.71	$3,555.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $740.79 / $1,067.59 / $1,745.68	Facility		$740.79	$1,067.59	$1,745.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $740.79 / $1,514.68 / $7,891.00	Facility		$740.79	$1,514.68	$7,891.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $740.79 / $1,067.59 / $1,745.68	Facility		$740.79	$1,067.59	$1,745.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,517.10 / $1,848.53 / $2,759.49	Professional		$1,517.10	$1,848.53	$2,759.49
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 $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00