Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.56 / $1,540.01 / $14,482.00	Facility		$898.56	$1,540.01	$14,482.00
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 $763.53 / $1,187.79 / $1,187.79	Facility		$763.53	$1,187.79	$1,187.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,929.30 / $2,254.54 / $3,636.49	Facility		$1,929.30	$2,254.54	$3,636.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $789.71 / $1,051.32 / $2,393.31	Facility		$789.71	$1,051.32	$2,393.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $789.71 / $2,393.31 / $8,384.00	Facility		$789.71	$2,393.31	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $789.71 / $1,051.32 / $2,393.31	Facility		$789.71	$1,051.32	$2,393.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,559.35 / $2,156.21 / $2,724.30	Professional		$1,559.35	$2,156.21	$2,724.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,592.40 / $7,592.40 / $7,592.40	Facility		$7,592.40	$7,592.40	$7,592.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00