Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.19 / $2,322.48 / $14,482.00	Facility		$1,096.19	$2,322.48	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $15,055.00 / $22,609.00	Facility		$8,139.00	$15,055.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20,363.90 / $20,363.90 / $20,363.90	Facility		$20,363.90	$20,363.90	$20,363.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,931.34 / $3,425.51 / $5,254.81	Facility		$2,931.34	$3,425.51	$5,254.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,072.15 / $1,479.65 / $2,422.58	Facility		$1,072.15	$1,479.65	$2,422.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.19 / $2,219.27 / $11,598.00	Facility		$1,096.19	$2,219.27	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,072.15 / $1,471.12 / $2,422.58	Facility		$1,072.15	$1,471.12	$2,422.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,251.60 / $2,743.49 / $4,095.49	Professional		$2,251.60	$2,743.49	$4,095.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,721.99 / $17,721.99 / $48,920.50	Facility		$17,721.99	$17,721.99	$48,920.50
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