Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.90 / $383.87 / $2,692.57	Facility		$181.90	$383.87	$2,692.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
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 $888.50 / $1,038.29 / $1,592.76	Facility		$888.50	$1,038.29	$1,592.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.90 / $329.21 / $677.79	Facility		$181.90	$329.21	$677.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.90 / $383.87 / $6,669.00	Facility		$181.90	$383.87	$6,669.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $181.90 / $329.21 / $677.79	Facility		$181.90	$329.21	$677.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $424.82 / $704.88 / $1,100.58	Professional		$424.82	$704.88	$1,100.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $843.20 / $843.20 / $1,722.47	Facility		$843.20	$843.20	$1,722.47
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00