Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.04 / $350.91 / $14,482.00	Facility		$169.04	$350.91	$14,482.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $126.78 / $126.78 / $469.05	Facility	54	$126.78	$126.78	$469.05
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 $436.14 / $509.67 / $781.84	Facility		$436.14	$509.67	$781.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.04 / $253.56 / $496.17	Facility		$169.04	$253.56	$496.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.16 / $373.58 / $1,756.00	Facility		$172.16	$373.58	$1,756.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $219.45 / $219.45 / $219.45	Facility	54	$219.45	$219.45	$219.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $169.04 / $253.56 / $496.17	Facility		$169.04	$253.56	$496.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $350.35 / $426.89 / $637.26	Professional		$350.35	$426.89	$637.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $2,000.00	Facility		$264.92	$264.92	$2,000.00
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $651.70 / $651.70 / $651.70	Facility	54	$651.70	$651.70	$651.70
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