Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.49 / $2,390.51 / $14,482.00	Facility		$1,135.49	$2,390.51	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $17,403.00 / $23,778.77	Facility		$13,123.00	$17,403.00	$23,778.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34,006.05 / $34,006.05 / $34,006.05	Facility		$34,006.05	$34,006.05	$34,006.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,015.15 / $3,523.44 / $5,405.04	Facility		$3,015.15	$3,523.44	$5,405.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,135.49 / $1,684.35 / $2,509.42	Facility		$1,135.49	$1,684.35	$2,509.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,135.49 / $2,348.66 / $19,562.00	Facility		$1,135.49	$2,348.66	$19,562.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,135.49 / $1,642.24 / $2,509.42	Facility		$1,135.49	$1,642.24	$2,509.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,319.85 / $2,826.65 / $4,219.63	Professional		$2,319.85	$2,826.65	$4,219.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,055.19 / $30,055.19 / $82,965.55	Facility		$30,055.19	$30,055.19	$82,965.55
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00