Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.35 / $777.30 / $14,482.00	Facility		$196.35	$777.30	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.47 / $347.25 / $347.25	Facility		$221.47	$347.25	$347.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.28 / $636.03 / $1,025.89	Facility		$544.28	$636.03	$1,025.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $196.35 / $251.67 / $416.76	Facility		$196.35	$251.67	$416.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.22 / $1,124.00 / $2,043.20	Facility		$213.22	$1,124.00	$2,043.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $196.35 / $251.67 / $416.76	Facility		$196.35	$251.67	$416.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $453.05 / $697.00 / $948.70	Professional		$453.05	$697.00	$948.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,055.15 / $1,055.15 / $1,055.15	Facility		$1,055.15	$1,055.15	$1,055.15
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $105.52 / $105.52 / $105.52	Facility	AS	$105.52	$105.52	$105.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90