Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.76 / $2,879.32 / $14,482.00	Facility		$1,362.76	$2,879.32	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,057.00 / $7,774.00 / $12,204.00	Facility		$5,057.00	$7,774.00	$12,204.00
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 $3,608.99 / $4,217.39 / $6,469.58	Facility		$3,608.99	$4,217.39	$6,469.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,362.76 / $1,902.21 / $3,011.70	Facility		$1,362.76	$1,902.21	$3,011.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,362.76 / $2,879.33 / $8,103.00	Facility		$1,362.76	$2,879.33	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,362.76 / $1,902.21 / $3,011.70	Facility		$1,362.76	$1,902.21	$3,011.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,835.95 / $3,455.50 / $5,158.37	Professional		$2,835.95	$3,455.50	$5,158.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $10,001.52	Facility		$2,469.60	$2,469.60	$10,001.52
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