Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.74 / $2,224.69 / $14,482.00	Facility		$1,059.74	$2,224.69	$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 $8,037.49 / $8,037.49 / $8,037.49	Facility		$8,037.49	$8,037.49	$8,037.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,792.57 / $3,263.34 / $5,006.05	Facility		$2,792.57	$3,263.34	$5,006.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,059.74 / $1,529.56 / $2,471.88	Facility		$1,059.74	$1,529.56	$2,471.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,059.74 / $2,184.69 / $13,250.00	Facility		$1,059.74	$2,184.69	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,059.74 / $1,529.56 / $2,471.88	Facility		$1,059.74	$1,529.56	$2,471.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,131.35 / $2,596.96 / $3,876.76	Professional		$2,131.35	$2,596.96	$3,876.76
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 $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00