Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $513.29 / $1,075.28 / $2,550.71	Facility		$513.29	$1,075.28	$2,550.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
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 $1,867.12 / $2,181.88 / $3,347.06	Facility		$1,867.12	$2,181.88	$3,347.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.29 / $723.87 / $1,424.48	Facility		$501.29	$723.87	$1,424.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $502.13 / $834.12 / $6,669.00	Facility		$502.13	$834.12	$6,669.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $501.29 / $723.87 / $1,424.48	Facility		$501.29	$723.87	$1,424.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,176.71 / $1,643.84 / $2,378.81	Professional		$1,176.71	$1,643.84	$2,378.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,358.27	Facility		$1,722.47	$1,722.47	$4,358.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00