Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.12 / $12,575.28 / $20,381.25	Facility		$1,023.12	$12,575.28	$20,381.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
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 $2,726.79 / $3,186.47 / $4,888.12	Facility		$2,726.79	$3,186.47	$4,888.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.12 / $1,505.57 / $2,394.75	Facility		$1,023.12	$1,505.57	$2,394.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.39 / $2,138.86 / $15,090.00	Facility		$1,047.39	$2,138.86	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,023.12 / $1,505.57 / $2,394.75	Facility		$1,023.12	$1,505.57	$2,394.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,094.30 / $2,551.82 / $3,809.37	Professional		$2,094.30	$2,551.82	$3,809.37
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 $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00