Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.85 / $812.81 / $14,482.00	Facility		$382.85	$812.81	$14,482.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $287.14 / $287.14 / $1,086.46	Facility	54	$287.14	$287.14	$1,086.46
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 $1,034.49 / $1,208.88 / $1,854.45	Facility		$1,034.49	$1,208.88	$1,854.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.06 / $447.93 / $812.81	Facility		$323.06	$447.93	$812.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.06 / $618.71 / $1,756.00	Facility		$323.06	$618.71	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $323.06 / $447.93 / $812.81	Facility		$323.06	$447.93	$812.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $785.85 / $957.53 / $1,429.40	Professional		$785.85	$957.53	$1,429.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $2,085.63	Facility		$264.92	$264.92	$2,085.63
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $1,281.15 / $1,281.15 / $1,281.15	Facility	54	$1,281.15	$1,281.15	$1,281.15
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