Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.65 / $340.94 / $14,482.00	Facility		$161.65	$340.94	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.74 / $503.35 / $772.15	Facility		$430.74	$503.35	$772.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $161.65 / $226.79 / $357.25	Facility		$161.65	$226.79	$357.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.65 / $325.79 / $5,639.00	Facility		$161.65	$325.79	$5,639.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $161.65 / $226.31 / $357.25	Facility		$161.65	$226.31	$357.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $325.64 / $396.79 / $592.33	Professional		$325.64	$396.79	$592.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
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