Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,336.50 / $2,798.35 / $14,482.00	Facility		$1,336.50	$2,798.35	$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 $3,529.69 / $4,124.72 / $6,327.42	Facility		$3,529.69	$4,124.72	$6,327.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,336.50 / $1,865.57 / $2,953.67	Facility		$1,336.50	$1,865.57	$2,953.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,336.50 / $2,798.35 / $8,103.00	Facility		$1,336.50	$2,798.35	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,336.50 / $1,865.57 / $2,953.67	Facility		$1,336.50	$1,865.57	$2,953.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,773.55 / $3,379.46 / $5,044.87	Professional		$2,773.55	$3,379.46	$5,044.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $9,836.64	Facility		$2,469.60	$2,469.60	$9,836.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00