Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.70 / $978.60 / $4,215.32	Facility		$180.70	$978.60	$4,215.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $225.27 / $225.27	Facility		$146.69	$225.27	$225.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.98 / $447.54 / $721.86	Facility		$382.98	$447.54	$721.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $149.82 / $211.42 / $462.39	Facility		$149.82	$211.42	$462.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.10 / $2,247.00 / $4,793.00	Facility		$169.10	$2,247.00	$4,793.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $149.82 / $211.42 / $462.39	Facility		$149.82	$211.42	$462.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $299.64 / $462.71 / $609.53	Professional		$299.64	$462.71	$609.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,187.85 / $3,187.85 / $3,187.85	Facility		$3,187.85	$3,187.85	$3,187.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00