Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.33 / $2,150.96 / $14,482.00	Facility		$1,028.33	$2,150.96	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
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 $2,753.82 / $3,218.06 / $4,936.59	Facility		$2,753.82	$3,218.06	$4,936.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $955.98 / $1,275.98 / $2,389.94	Facility		$955.98	$1,275.98	$2,389.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $955.98 / $1,933.37 / $11,598.00	Facility		$955.98	$1,933.37	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $955.98 / $1,275.98 / $2,389.94	Facility		$955.98	$1,275.98	$2,389.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,062.44 / $2,513.02 / $3,751.44	Professional		$2,062.44	$2,513.02	$3,751.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
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