Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.28 / $1,498.46 / $14,482.00	Facility		$395.28	$1,498.46	$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 $1,069.63 / $1,249.95 / $1,917.45	Facility		$1,069.63	$1,249.95	$1,917.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $378.49 / $527.98 / $934.20	Facility		$378.49	$527.98	$934.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $774.77 / $5,261.00	Facility		$392.50	$774.77	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $378.49 / $527.98 / $934.20	Facility		$378.49	$527.98	$934.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $807.30 / $983.66 / $1,468.42	Professional		$807.30	$983.66	$1,468.42
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 $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00