Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,376.40 / $4,729.39 / $8,428.82	Facility		$3,376.40	$4,729.39	$8,428.82
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 $2,292.05 / $3,523.26 / $3,523.26	Facility		$2,292.05	$3,523.26	$3,523.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,993.35 / $7,003.70 / $11,296.72	Facility		$5,993.35	$7,003.70	$11,296.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $3,376.40 / $4,764.78	Facility		$2,100.00	$3,376.40	$4,764.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $3,431.89 / $7,700.00	Facility		$2,000.00	$3,431.89	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $3,376.40 / $4,764.78	Facility		$2,100.00	$3,376.40	$4,764.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,733.30 / $6,222.47 / $8,269.44	Professional		$4,733.30	$6,222.47	$8,269.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,815.72 / $16,815.72 / $16,815.72	Facility		$16,815.72	$16,815.72	$16,815.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00