Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.91 / $304.16 / $6,461.00	Facility		$143.91	$304.16	$6,461.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.59 / $930.88 / $1,427.99	Facility		$796.59	$930.88	$1,427.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $146.68 / $297.26 / $608.04	Facility		$146.68	$297.26	$608.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.51 / $320.14 / $4,377.80	Facility		$155.51	$320.14	$4,377.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $146.68 / $297.26 / $608.04	Facility		$146.68	$297.26	$608.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $356.94 / $588.51 / $1,016.28	Professional		$356.94	$588.51	$1,016.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $894.05 / $894.05 / $2,469.60	Facility		$894.05	$894.05	$2,469.60
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