Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.03 / $214.25 / $3,119.00	Facility		$89.03	$214.25	$3,119.00
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 $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.11 / $669.73 / $1,027.38	Facility		$573.11	$669.73	$1,027.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.03 / $193.53 / $435.93	Facility		$89.03	$193.53	$435.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.74 / $218.61 / $4,292.39	Facility		$90.74	$218.61	$4,292.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.03 / $193.53 / $435.93	Facility		$89.03	$193.53	$435.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $221.18 / $360.29 / $721.74	Professional		$221.18	$360.29	$721.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $550.40 / $550.40 / $1,455.33	Facility		$550.40	$550.40	$1,455.33
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