Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.90 / $2,345.63 / $14,482.00	Facility		$1,113.90	$2,345.63	$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 $2,948.46 / $3,445.51 / $5,285.51	Facility		$2,948.46	$3,445.51	$5,285.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,113.90 / $1,551.06 / $2,461.71	Facility		$1,113.90	$1,551.06	$2,461.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,113.90 / $2,345.63 / $8,103.00	Facility		$1,113.90	$2,345.63	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,113.90 / $1,551.06 / $2,461.71	Facility		$1,113.90	$1,551.06	$2,461.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,303.60 / $2,806.85 / $4,190.07	Professional		$2,303.60	$2,806.85	$4,190.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
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