Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.36 / $947.43 / $14,482.00	Facility		$445.36	$947.43	$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 $1,200.29 / $1,402.64 / $2,151.67	Facility		$1,200.29	$1,402.64	$2,151.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $421.08 / $562.50 / $1,052.70	Facility		$421.08	$562.50	$1,052.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $421.08 / $881.72 / $5,261.00	Facility		$421.08	$881.72	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $421.08 / $562.50 / $1,052.70	Facility		$421.08	$562.50	$1,052.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $910.65 / $1,109.58 / $1,656.40	Professional		$910.65	$1,109.58	$1,656.40
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