Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.81 / $2,271.89 / $8,243.00	Facility		$1,089.81	$2,271.89	$8,243.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,213.08 / $10,213.08 / $10,213.08	Facility		$10,213.08	$10,213.08	$10,213.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,581.95 / $4,185.79 / $6,421.12	Facility		$3,581.95	$4,185.79	$6,421.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,103.56 / $1,593.94 / $2,820.04	Facility		$1,103.56	$1,593.94	$2,820.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,145.63 / $1,880.03 / $7,160.00	Facility		$1,145.63	$1,880.03	$7,160.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,112.95 / $1,565.66 / $2,820.04	Facility		$1,112.95	$1,565.66	$2,820.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,503.80 / $3,305.02 / $4,691.29	Professional		$2,503.80	$3,305.02	$4,691.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,189.43 / $5,189.43 / $9,143.35	Facility		$5,189.43	$5,189.43	$9,143.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00