Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.16 / $1,239.93 / $14,482.00	Facility		$603.16	$1,239.93	$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 $1,621.11 / $1,894.40 / $2,906.06	Facility		$1,621.11	$1,894.40	$2,906.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $564.96 / $722.25 / $1,377.70	Facility		$564.96	$722.25	$1,377.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $569.77 / $1,079.41 / $5,261.00	Facility		$569.77	$1,079.41	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $564.96 / $722.25 / $1,377.70	Facility		$564.96	$722.25	$1,377.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,181.05 / $1,439.06 / $2,148.23	Professional		$1,181.05	$1,439.06	$2,148.23
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