Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $141.68 / $1,894.00	Facility		$29.52	$141.68	$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 $319.44 / $319.44 / $319.44	Facility		$319.44	$319.44	$319.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.88 / $448.59 / $688.15	Facility		$383.88	$448.59	$688.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $101.59 / $287.12	Facility		$29.77	$101.59	$287.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $141.68 / $1,449.00	Facility		$32.54	$141.68	$1,449.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.50 / $101.59 / $287.12	Facility		$30.50	$101.59	$287.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $150.35 / $452.19	Professional		$72.45	$150.35	$452.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $259.77 / $259.77 / $264.92	Facility		$259.77	$259.77	$264.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90