Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.43 / $2,669.63 / $14,482.00	Facility		$1,283.43	$2,669.63	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.67 / $4,018.36 / $6,164.27	Facility		$3,438.67	$4,018.36	$6,164.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,185.97 / $1,501.61 / $2,720.87	Facility		$1,185.97	$1,501.61	$2,720.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,186.50 / $2,206.44 / $11,100.00	Facility		$1,186.50	$2,206.44	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,185.97 / $1,485.05 / $2,720.87	Facility		$1,185.97	$1,485.05	$2,720.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,567.50 / $3,128.40 / $4,485.62	Professional		$2,567.50	$3,128.40	$4,485.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00