Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.88 / $1,817.47 / $2,278.71	Facility		$316.88	$1,817.47	$2,278.71
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $931.83 / $1,927.68 / $3,469.40	Facility	25	$931.83	$1,927.68	$3,469.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $148.91 / $498.33 / $986.00	Professional	25	$148.91	$498.33	$986.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,693.00 / $3,274.00	Facility		$2,592.00	$2,693.00	$3,274.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.94 / $217.14 / $496.33	Facility		$165.94	$217.14	$496.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.25 / $519.14 / $796.38	Facility		$444.25	$519.14	$796.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $148.91 / $200.22 / $480.92	Facility		$148.91	$200.22	$480.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.91 / $206.76 / $481.72	Facility		$148.91	$206.76	$481.72
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $3,540.25 / $3,540.25 / $3,540.25	Facility	25	$3,540.25	$3,540.25	$3,540.25
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $277.14 / $632.66 / $1,030.50	Professional	25	$277.14	$632.66	$1,030.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $148.91 / $195.00 / $404.17	Facility		$148.91	$195.00	$404.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $327.82 / $469.38 / $723.70	Professional		$327.82	$469.38	$723.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $790.22 / $790.22 / $790.22	Facility		$790.22	$790.22	$790.22