Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.29 / $1,291.41 / $14,482.00	Facility		$627.29	$1,291.41	$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 $1,692.30 / $1,977.59 / $3,033.67	Facility		$1,692.30	$1,977.59	$3,033.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $573.96 / $753.75 / $1,434.90	Facility		$573.96	$753.75	$1,434.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $573.96 / $1,166.57 / $5,639.00	Facility		$573.96	$1,166.57	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $573.96 / $753.75 / $1,434.90	Facility		$573.96	$753.75	$1,434.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,227.84 / $1,496.09 / $2,233.36	Professional		$1,227.84	$1,496.09	$2,233.36
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 $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00