Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.72 / $2,677.12 / $14,482.00	Facility		$1,279.72	$2,677.12	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,365.68 / $3,933.07 / $6,033.43	Facility		$3,365.68	$3,933.07	$6,033.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,279.72 / $1,782.62 / $2,828.18	Facility		$1,279.72	$1,782.62	$2,828.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,279.72 / $2,677.12 / $8,103.00	Facility		$1,279.72	$2,677.12	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,279.72 / $1,782.62 / $2,828.18	Facility		$1,279.72	$1,782.62	$2,828.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,629.25 / $3,203.64 / $4,782.39	Professional		$2,629.25	$3,203.64	$4,782.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $10,885.91	Facility		$2,469.60	$2,469.60	$10,885.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00