Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.32 / $627.66 / $1,894.00	Facility		$292.32	$627.66	$1,894.00
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 $800.19 / $935.09 / $1,434.45	Facility		$800.19	$935.09	$1,434.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $284.82 / $382.02 / $649.72	Facility		$284.82	$382.02	$649.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $292.32 / $468.07 / $1,449.00	Facility		$292.32	$468.07	$1,449.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $292.32 / $364.84 / $646.03	Facility		$292.32	$364.84	$646.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $600.60 / $739.38 / $1,092.45	Professional		$600.60	$739.38	$1,092.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $1,395.72	Facility		$264.92	$264.92	$1,395.72
United Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $1,275.00 / $2,202.90	Facility		$618.00	$1,275.00	$2,202.90