Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.78 / $2,456.80 / $10,752.72	Facility		$174.78	$2,456.80	$10,752.72
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $947.00 / $3,117.36 / $8,997.04	Facility	50	$947.00	$3,117.36	$8,997.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $1,979.00 / $2,601.00	Facility		$1,905.00	$1,979.00	$2,601.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.84 / $190.92 / $273.25	Facility		$189.84	$190.92	$273.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.46 / $623.39 / $956.30	Facility		$533.46	$623.39	$956.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $189.84 / $290.01 / $616.62	Facility		$189.84	$290.01	$616.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.09 / $607.23 / $2,043.20	Facility		$199.09	$607.23	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $189.84 / $290.01 / $616.62	Facility		$189.84	$290.01	$616.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $385.20 / $513.73 / $729.06	Professional		$385.20	$513.73	$729.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $386.70 / $971.85 / $971.85	Facility		$386.70	$971.85	$971.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90