Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.47 / $2,088.38 / $14,482.00	Facility		$1,192.47	$2,088.38	$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 $1,031.61 / $1,601.48 / $1,601.48	Facility		$1,031.61	$1,601.48	$1,601.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,624.96 / $3,067.48 / $4,947.72	Facility		$2,624.96	$3,067.48	$4,947.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,020.99 / $1,312.50 / $3,906.49	Facility		$1,020.99	$1,312.50	$3,906.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,020.99 / $2,203.00 / $7,700.00	Facility		$1,020.99	$2,203.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $942.00 / $1,312.50 / $3,906.49	Facility		$942.00	$1,312.50	$3,906.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,111.85 / $2,920.20 / $3,689.56	Professional		$2,111.85	$2,920.20	$3,689.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,465.26 / $7,465.26 / $7,465.26	Facility		$7,465.26	$7,465.26	$7,465.26
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