Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,042.73 / $2,182.32 / $14,482.00	Facility		$1,042.73	$2,182.32	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,995.29 / $5,995.29 / $5,995.29	Facility		$5,995.29	$5,995.29	$5,995.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,746.61 / $3,209.64 / $4,923.66	Facility		$2,746.61	$3,209.64	$4,923.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,035.35 / $1,500.32 / $2,424.80	Facility		$1,035.35	$1,500.32	$2,424.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,042.73 / $2,182.32 / $13,250.00	Facility		$1,042.73	$2,182.32	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,035.35 / $1,481.98 / $2,424.80	Facility		$1,035.35	$1,481.98	$2,424.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,059.85 / $2,509.85 / $3,746.71	Professional		$2,059.85	$2,509.85	$3,746.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,994.41 / $5,994.41 / $16,547.20	Facility		$5,994.41	$5,994.41	$16,547.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00