Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.23 / $2,282.19 / $14,482.00	Facility		$1,080.23	$2,282.19	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14,551.22 / $14,551.22 / $14,551.22	Facility		$14,551.22	$14,551.22	$14,551.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,880.88 / $3,366.54 / $5,164.35	Facility		$2,880.88	$3,366.54	$5,164.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,080.23 / $1,564.31 / $2,745.60	Facility		$1,080.23	$1,564.31	$2,745.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,080.23 / $2,246.71 / $15,090.00	Facility		$1,080.23	$2,246.71	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,080.23 / $1,564.31 / $2,745.60	Facility		$1,080.23	$1,564.31	$2,745.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,219.10 / $2,703.89 / $4,036.37	Professional		$2,219.10	$2,703.89	$4,036.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,629.66 / $13,629.66 / $38,302.10	Facility		$13,629.66	$13,629.66	$38,302.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00