Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.97 / $2,388.04 / $9,245.00	Facility		$1,163.97	$2,388.04	$9,245.00
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 $8,262.08 / $8,262.08 / $8,262.08	Facility		$8,262.08	$8,262.08	$8,262.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,294.98 / $6,187.60 / $9,491.94	Facility		$5,294.98	$6,187.60	$9,491.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,093.77 / $1,964.95 / $4,035.08	Facility		$1,093.77	$1,964.95	$4,035.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,149.08 / $2,238.17 / $12,202.00	Facility		$1,149.08	$2,238.17	$12,202.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,109.60 / $1,964.95 / $4,035.08	Facility		$1,109.60	$1,964.95	$4,035.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,649.62 / $4,115.89 / $6,509.12	Professional		$2,649.62	$4,115.89	$6,509.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,611.15 / $7,611.15 / $8,175.54	Facility		$7,611.15	$7,611.15	$8,175.54
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