Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.10 / $4,242.81 / $16,416.41	Facility		$150.10	$4,242.81	$16,416.41
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 $405.50 / $473.86 / $726.92	Facility		$405.50	$473.86	$726.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $150.10 / $214.55 / $356.13	Facility		$150.10	$214.55	$356.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.10 / $306.27 / $5,261.00	Facility		$150.10	$306.27	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $150.10 / $214.55 / $356.13	Facility		$150.10	$214.55	$356.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $377.78 / $563.96	Professional		$310.05	$377.78	$563.96
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 $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00