Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,859.39 / $6,003.25 / $14,482.00	Facility		$2,859.39	$6,003.25	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,545.08 / $8,817.02 / $13,525.53	Facility		$7,545.08	$8,817.02	$13,525.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,859.39 / $4,019.18 / $6,319.25	Facility		$2,859.39	$4,019.18	$6,319.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,859.39 / $5,437.08 / $15,090.00	Facility		$2,859.39	$5,437.08	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,859.39 / $4,003.15 / $6,319.25	Facility		$2,859.39	$4,003.15	$6,319.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,874.70 / $7,158.10 / $10,685.63	Professional		$5,874.70	$7,158.10	$10,685.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $31,255.56	Facility		$7,213.88	$7,213.88	$31,255.56
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00