Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.98 / $964.69 / $1,894.00	Facility		$454.98	$964.69	$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 $1,339.97 / $1,565.86 / $2,402.06	Facility		$1,339.97	$1,565.86	$2,402.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $450.84 / $596.35 / $1,071.88	Facility		$450.84	$596.35	$1,071.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $454.98 / $682.47 / $1,533.03	Facility		$454.98	$682.47	$1,533.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $450.84 / $578.54 / $1,071.88	Facility		$450.84	$578.54	$1,071.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,006.85 / $1,226.81 / $1,759.04	Professional		$1,006.85	$1,226.81	$1,759.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $2,208.80	Facility		$264.92	$264.92	$2,208.80
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