Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.95 / $1,339.88 / $14,482.00	Facility		$652.95	$1,339.88	$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 $1,751.78 / $2,047.09 / $3,140.29	Facility		$1,751.78	$2,047.09	$3,140.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $595.50 / $773.45 / $1,488.75	Facility		$595.50	$773.45	$1,488.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $633.88 / $1,182.08 / $5,261.00	Facility		$633.88	$1,182.08	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $595.50 / $773.45 / $1,488.75	Facility		$595.50	$773.45	$1,488.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,276.59 / $1,555.49 / $2,322.04	Professional		$1,276.59	$1,555.49	$2,322.04
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