Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.82 / $639.32 / $14,482.00	Facility		$305.82	$639.32	$14,482.00
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 $809.21 / $945.62 / $1,450.61	Facility		$809.21	$945.62	$1,450.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $305.82 / $404.63 / $675.86	Facility		$305.82	$404.63	$675.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $305.82 / $613.38 / $1,778.00	Facility		$305.82	$613.38	$1,778.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $305.82 / $404.63 / $675.86	Facility		$305.82	$404.63	$675.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $760.32 / $1,135.01	Professional		$624.00	$760.32	$1,135.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $1,843.85	Facility		$264.92	$264.92	$1,843.85
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