Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.32 / $3,753.60 / $14,482.00	Facility		$1,001.32	$3,753.60	$14,482.00
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 $2,663.71 / $3,112.76 / $4,775.05	Facility		$2,663.71	$3,112.76	$4,775.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,001.32 / $1,466.72 / $2,340.15	Facility		$1,001.32	$1,466.72	$2,340.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,001.32 / $2,072.08 / $14,270.00	Facility		$1,001.32	$2,072.08	$14,270.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,001.32 / $1,466.72 / $2,340.15	Facility		$1,001.32	$1,466.72	$2,340.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,045.55 / $2,492.42 / $3,720.70	Professional		$2,045.55	$2,492.42	$3,720.70
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