Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.19 / $404.55 / $14,482.00	Facility		$191.19	$404.55	$14,482.00
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 $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.84 / $598.12 / $917.53	Facility		$511.84	$598.12	$917.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $191.19 / $275.54 / $449.50	Facility		$191.19	$275.54	$449.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.19 / $392.44 / $5,261.00	Facility		$191.19	$392.44	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $191.19 / $275.54 / $449.50	Facility		$191.19	$275.54	$449.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $391.30 / $476.78 / $711.74	Professional		$391.30	$476.78	$711.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00