Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.57 / $563.59 / $3,169.08	Facility		$402.57	$563.59	$3,169.08
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $301.93 / $336.08 / $1,278.79	Facility	54	$301.93	$336.08	$1,278.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$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 $1,226.42 / $1,433.17 / $2,198.53	Facility		$1,226.42	$1,433.17	$2,198.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $381.55 / $510.24 / $952.82	Facility		$381.55	$510.24	$952.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.55 / $603.86 / $1,513.00	Facility		$381.55	$603.86	$1,513.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $381.55 / $510.24 / $952.82	Facility		$381.55	$510.24	$952.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $914.97 / $1,119.09 / $1,604.60	Professional		$914.97	$1,119.09	$1,604.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $1,968.96	Facility		$1,722.47	$1,722.47	$1,968.96
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $1,347.91 / $1,347.91 / $1,347.91	Facility	54	$1,347.91	$1,347.91	$1,347.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90