Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.85 / $619.96 / $3,119.00	Facility		$483.85	$619.96	$3,119.00
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 $1,452.61 / $1,697.48 / $2,603.98	Facility		$1,452.61	$1,697.48	$2,603.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $496.56 / $685.08 / $1,146.74	Facility		$496.56	$685.08	$1,146.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.33 / $805.63 / $4,377.80	Facility		$508.33	$805.63	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $496.56 / $680.81 / $1,146.74	Facility		$496.56	$680.81	$1,146.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,107.31 / $1,349.57 / $1,935.06	Professional		$1,107.31	$1,349.57	$1,935.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $2,349.76	Facility		$1,722.47	$1,722.47	$2,349.76
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