Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.79 / $1,152.97 / $14,482.00	Facility		$542.79	$1,152.97	$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 $1,461.62 / $1,708.01 / $2,620.14	Facility		$1,461.62	$1,708.01	$2,620.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.42 / $677.25 / $1,281.08	Facility		$512.42	$677.25	$1,281.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.42 / $1,080.53 / $5,261.00	Facility		$512.42	$1,080.53	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $512.42 / $677.25 / $1,281.08	Facility		$512.42	$677.25	$1,281.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,110.20 / $1,352.74 / $2,019.37	Professional		$1,110.20	$1,352.74	$2,019.37
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 $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00