Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.59 / $1,314.18 / $14,482.00	Facility		$619.59	$1,314.18	$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 $1,665.27 / $1,946.00 / $2,985.21	Facility		$1,665.27	$1,946.00	$2,985.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $578.44 / $747.62 / $1,460.20	Facility		$578.44	$747.62	$1,460.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.08 / $1,255.05 / $5,261.00	Facility		$584.08	$1,255.05	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $578.44 / $747.62 / $1,460.20	Facility		$578.44	$747.62	$1,460.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,272.70 / $1,550.74 / $2,314.94	Professional		$1,272.70	$1,550.74	$2,314.94
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