Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.53 / $2,164.34 / $14,482.00	Facility		$1,022.53	$2,164.34	$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 $2,723.18 / $3,182.26 / $4,881.66	Facility		$2,723.18	$3,182.26	$4,881.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,022.53 / $1,405.45 / $2,259.79	Facility		$1,022.53	$1,405.45	$2,259.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,022.53 / $2,162.96 / $8,103.00	Facility		$1,022.53	$2,162.96	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,022.53 / $1,405.45 / $2,259.79	Facility		$1,022.53	$1,405.45	$2,259.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,103.40 / $2,562.91 / $3,825.92	Professional		$2,103.40	$2,562.91	$3,825.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $7,443.00	Facility		$2,469.60	$2,469.60	$7,443.00
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