Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.63 / $2,374.11 / $14,482.00	Facility		$1,136.63	$2,374.11	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $15,738.00 / $23,778.77	Facility		$8,139.00	$15,738.00	$23,778.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27,646.42 / $27,646.42 / $27,646.42	Facility		$27,646.42	$27,646.42	$27,646.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,002.53 / $3,508.70 / $5,382.43	Facility		$3,002.53	$3,508.70	$5,382.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,136.63 / $1,509.76 / $2,511.94	Facility		$1,136.63	$1,509.76	$2,511.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,136.63 / $2,374.11 / $11,598.00	Facility		$1,136.63	$2,374.11	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,136.63 / $1,509.76 / $2,511.94	Facility		$1,136.63	$1,509.76	$2,511.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.60 / $2,791.01 / $4,166.43	Professional		$2,290.60	$2,791.01	$4,166.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,522.97 / $30,522.97 / $84,256.80	Facility		$30,522.97	$30,522.97	$84,256.80
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