Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.71 / $381.47 / $14,482.00	Facility		$179.71	$381.47	$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 $483.90 / $565.48 / $867.46	Facility		$483.90	$565.48	$867.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $179.71 / $256.57 / $397.16	Facility		$179.71	$256.57	$397.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.71 / $365.27 / $5,261.00	Facility		$179.71	$365.27	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $179.71 / $256.57 / $397.16	Facility		$179.71	$256.57	$397.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $369.20 / $449.86 / $671.55	Professional		$369.20	$449.86	$671.55
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