Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.05 / $2,500.76 / $14,482.00	Facility		$1,187.05	$2,500.76	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,810.00 / $23,778.77	Facility		$10,878.00	$15,810.00	$23,778.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31,590.54 / $31,590.54 / $31,590.54	Facility		$31,590.54	$31,590.54	$31,590.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,143.11 / $3,672.97 / $5,634.43	Facility		$3,143.11	$3,672.97	$5,634.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,187.05 / $1,750.00 / $2,623.38	Facility		$1,187.05	$1,750.00	$2,623.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,187.05 / $2,389.62 / $15,090.00	Facility		$1,187.05	$2,389.62	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,187.05 / $1,702.35 / $2,623.38	Facility		$1,187.05	$1,702.35	$2,623.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,402.40 / $2,927.23 / $4,369.78	Professional		$2,402.40	$2,927.23	$4,369.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,960.32 / $28,960.32 / $79,943.20	Facility		$28,960.32	$28,960.32	$79,943.20
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