Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.31 / $1,637.82 / $14,482.00	Facility		$777.31	$1,637.82	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$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 $2,067.17 / $2,415.65 / $3,705.67	Facility		$2,067.17	$2,415.65	$3,705.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $777.31 / $1,020.80 / $1,717.86	Facility		$777.31	$1,020.80	$1,717.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $777.31 / $1,198.19 / $2,021.01	Facility		$777.31	$1,198.19	$2,021.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $777.31 / $1,011.23 / $1,717.86	Facility		$777.31	$1,011.23	$1,717.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,592.50 / $1,940.40 / $2,896.64	Professional		$1,592.50	$1,940.40	$2,896.64
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 $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90