Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.00 / $1,062.58 / $14,482.00	Facility		$501.00	$1,062.58	$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 $1,348.08 / $1,575.33 / $2,416.60	Facility		$1,348.08	$1,575.33	$2,416.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.00 / $679.46 / $1,062.58	Facility		$501.00	$679.46	$1,062.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.00 / $1,005.41 / $5,261.00	Facility		$501.00	$1,005.41	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $501.00 / $659.40 / $1,062.58	Facility		$501.00	$659.40	$1,062.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,022.45 / $1,245.82 / $1,859.76	Professional		$1,022.45	$1,245.82	$1,859.76
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