Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,723.50 / $6,460.47 / $14,482.00	Facility		$1,723.50	$6,460.47	$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 $4,539.84 / $5,305.17 / $8,138.26	Facility		$4,539.84	$5,305.17	$8,138.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,723.50 / $2,412.90 / $3,808.94	Facility		$1,723.50	$2,412.90	$3,808.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,723.50 / $3,624.95 / $8,103.00	Facility		$1,723.50	$3,624.95	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,723.50 / $2,412.90 / $3,808.94	Facility		$1,723.50	$2,412.90	$3,808.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,567.20 / $4,346.50 / $6,488.46	Professional		$3,567.20	$4,346.50	$6,488.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $23,095.49	Facility		$2,469.60	$2,469.60	$23,095.49
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