Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.24 / $1,028.68 / $14,482.00	Facility		$485.24	$1,028.68	$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 $1,303.02 / $1,522.68 / $2,335.83	Facility		$1,303.02	$1,522.68	$2,335.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.19 / $623.76 / $1,034.67	Facility		$457.19	$623.76	$1,034.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.19 / $980.64 / $5,261.00	Facility		$457.19	$980.64	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $457.19 / $613.04 / $1,034.67	Facility		$457.19	$613.04	$1,034.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $991.25 / $1,207.80 / $1,803.01	Professional		$991.25	$1,207.80	$1,803.01
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