Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $304.97 / $1,894.00	Facility		$103.02	$304.97	$1,894.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.99 / $138.24 / $138.24	Facility		$90.99	$138.24	$138.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.99 / $458.07 / $738.85	Facility		$391.99	$458.07	$738.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.29 / $161.88 / $291.41	Facility		$95.29	$161.88	$291.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $210.46 / $8,103.00	Facility		$103.02	$210.46	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.20 / $161.88 / $291.41	Facility		$94.20	$161.88	$291.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.89 / $333.40 / $500.27	Professional		$218.89	$333.40	$500.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $444.76 / $444.76 / $444.76	Facility		$444.76	$444.76	$444.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00