Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.91 / $1,411.33 / $14,482.00	Facility		$686.91	$1,411.33	$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 $1,844.59 / $2,155.55 / $3,306.67	Facility		$1,844.59	$2,155.55	$3,306.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $659.40 / $842.97 / $1,568.15	Facility		$659.40	$842.97	$1,568.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $663.72 / $1,243.43 / $5,261.00	Facility		$663.72	$1,243.43	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $659.40 / $842.97 / $1,568.15	Facility		$659.40	$842.97	$1,568.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,344.85 / $1,638.65 / $2,446.17	Professional		$1,344.85	$1,638.65	$2,446.17
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