Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.03 / $2,506.48 / $14,482.00	Facility		$1,210.03	$2,506.48	$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 $3,175.55 / $3,710.88 / $5,692.58	Facility		$3,175.55	$3,710.88	$5,692.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,210.03 / $1,670.99 / $2,674.17	Facility		$1,210.03	$1,670.99	$2,674.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,210.03 / $2,506.48 / $8,103.00	Facility		$1,210.03	$2,506.48	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,210.03 / $1,670.99 / $2,674.17	Facility		$1,210.03	$1,670.99	$2,674.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,455.69 / $2,992.18 / $4,466.72	Professional		$2,455.69	$2,992.18	$4,466.72
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