Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.15 / $2,650.54 / $14,482.00	Facility		$1,259.15	$2,650.54	$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 $3,333.24 / $3,895.16 / $5,975.27	Facility		$3,333.24	$3,895.16	$5,975.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,259.15 / $1,755.11 / $2,782.72	Facility		$1,259.15	$1,755.11	$2,782.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,259.15 / $2,650.55 / $8,103.00	Facility		$1,259.15	$2,650.55	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,259.15 / $1,755.11 / $2,782.72	Facility		$1,259.15	$1,755.11	$2,782.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,613.65 / $3,184.63 / $4,754.03	Professional		$2,613.65	$3,184.63	$4,754.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $10,780.07	Facility		$2,469.60	$2,469.60	$10,780.07
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