Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.22 / $942.86 / $14,482.00	Facility		$445.22	$942.86	$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 $1,194.89 / $1,396.32 / $2,141.98	Facility		$1,194.89	$1,396.32	$2,141.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $445.22 / $628.58 / $1,047.63	Facility		$445.22	$628.58	$1,047.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $445.22 / $894.60 / $5,261.00	Facility		$445.22	$894.60	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $445.22 / $628.58 / $1,047.63	Facility		$445.22	$628.58	$1,047.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $908.05 / $1,106.42 / $1,651.67	Professional		$908.05	$1,106.42	$1,651.67
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