Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,151.23 / $2,824.20 / $14,482.00	Facility		$1,151.23	$2,824.20	$14,482.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $863.42 / $863.42 / $2,118.15	Facility	54	$863.42	$863.42	$2,118.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $3,876.00 / $5,962.00	Facility		$2,740.00	$3,876.00	$5,962.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,084.85 / $3,084.85 / $3,084.85	Facility		$3,084.85	$3,084.85	$3,084.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,037.43 / $2,380.90 / $3,840.31	Facility		$2,037.43	$2,380.90	$3,840.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $704.29 / $1,055.32 / $1,569.50	Facility		$704.29	$1,055.32	$1,569.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $772.11 / $3,353.00 / $8,103.00	Facility		$772.11	$3,353.00	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $704.29 / $1,055.32 / $1,919.15	Facility		$704.29	$1,055.32	$1,919.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,369.20 / $1,807.34 / $2,565.42	Professional		$1,369.20	$1,807.34	$2,565.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $6,887.55 / $6,887.55	Facility		$6,887.55	$6,887.55	$6,887.55
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $4,569.92 / $4,569.92 / $4,569.92	Facility	54	$4,569.92	$4,569.92	$4,569.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,193.00 / $5,918.00 / $7,791.00	Facility		$3,193.00	$5,918.00	$7,791.00