Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.13 / $2,524.58 / $5,805.85	Facility		$244.13	$2,524.58	$5,805.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.35 / $227.15 / $274.74	Facility		$181.35	$227.15	$274.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,376.25 / $2,776.84 / $4,259.74	Facility		$2,376.25	$2,776.84	$4,259.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $191.64 / $638.73 / $1,500.90	Facility		$191.64	$638.73	$1,500.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.64 / $844.30 / $3,242.00	Facility		$191.64	$844.30	$3,242.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $191.64 / $638.73 / $1,500.90	Facility		$191.64	$638.73	$1,500.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.42 / $916.52 / $2,893.51	Professional		$426.42	$916.52	$2,893.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $328.18 / $1,560.17 / $1,560.17	Facility		$328.18	$1,560.17	$1,560.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00