Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.87 / $3,800.16 / $10,826.96	Facility		$394.87	$3,800.16	$10,826.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.69 / $423.62 / $511.64	Facility		$338.69	$423.62	$511.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $922.75 / $1,078.30 / $1,654.14	Facility		$922.75	$1,078.30	$1,654.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $354.54 / $503.55 / $1,248.90	Facility		$354.54	$503.55	$1,248.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $352.89 / $605.52 / $7,318.00	Facility		$352.89	$605.52	$7,318.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $354.54 / $503.55 / $1,248.90	Facility		$354.54	$503.55	$1,248.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $644.40 / $859.41 / $1,488.17	Professional		$644.40	$859.41	$1,488.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $408.89 / $10,639.60 / $10,639.60	Facility		$408.89	$10,639.60	$10,639.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00