Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.46 / $2,305.51 / $6,461.00	Facility		$1,104.46	$2,305.51	$6,461.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,995.29 / $5,995.29 / $5,995.29	Facility		$5,995.29	$5,995.29	$5,995.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,405.33 / $3,979.40 / $6,104.50	Facility		$3,405.33	$3,979.40	$6,104.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,104.46 / $1,517.54 / $2,662.13	Facility		$1,104.46	$1,517.54	$2,662.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,128.32 / $1,774.76 / $12,202.00	Facility		$1,128.32	$1,774.76	$12,202.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,119.46 / $1,514.46 / $2,662.13	Facility		$1,119.46	$1,514.46	$2,662.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,473.06 / $3,091.18 / $4,482.97	Professional		$2,473.06	$3,091.18	$4,482.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,994.41 / $5,994.41 / $7,911.00	Facility		$5,994.41	$5,994.41	$7,911.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00