Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.36 / $208.44 / $1,894.00	Facility		$97.36	$208.44	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $494.11 / $494.11 / $494.11	Facility		$494.11	$494.11	$494.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.19 / $370.67 / $568.61	Facility		$317.19	$370.67	$568.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.64 / $133.44 / $248.93	Facility		$92.64	$133.44	$248.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.79 / $151.00 / $1,449.00	Facility		$94.79	$151.00	$1,449.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $92.64 / $130.43 / $248.93	Facility		$92.64	$130.43	$248.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $285.91 / $409.95	Professional		$216.60	$285.91	$409.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $435.03 / $435.03 / $693.24	Facility		$435.03	$435.03	$693.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,020.32 / $1,370.00 / $2,202.90	Facility		$1,020.32	$1,370.00	$2,202.90