Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.16 / $568.78 / $6,896.27	Facility		$175.16	$568.78	$6,896.27
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $87.58 / $166.91 / $506.85	Facility	52	$87.58	$166.91	$506.85
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 $136.99 / $206.78 / $206.78	Facility		$136.99	$206.78	$206.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $733.51 / $857.17 / $1,382.58	Facility		$733.51	$857.17	$1,382.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.43 / $303.35 / $566.83	Facility		$169.43	$303.35	$566.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.16 / $423.90 / $5,261.00	Facility		$175.16	$423.90	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $169.43 / $303.35 / $566.83	Facility		$169.43	$303.35	$566.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $330.51 / $586.54 / $971.85	Professional		$330.51	$586.54	$971.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,184.54 / $1,184.54 / $1,184.54	Facility		$1,184.54	$1,184.54	$1,184.54
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $524.38 / $524.38 / $524.38	Facility	52	$524.38	$524.38	$524.38
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