Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,804.82 / $11,139.00 / $30,009.70	Facility		$1,804.82	$11,139.00	$30,009.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,395.00 / $25,100.00 / $52,845.00	Facility		$17,395.00	$25,100.00	$52,845.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32,993.99 / $32,993.99 / $32,993.99	Facility		$32,993.99	$32,993.99	$32,993.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,407.79 / $2,813.70 / $4,538.39	Facility		$2,407.79	$2,813.70	$4,538.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $940.42 / $1,265.14 / $1,863.75	Facility		$940.42	$1,265.14	$1,863.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $940.42 / $14,094.00 / $37,259.00	Facility		$940.42	$14,094.00	$37,259.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $940.42 / $1,265.14 / $1,863.75	Facility		$940.42	$1,265.14	$1,863.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,208.88 / $2,650.84 / $3,790.28	Professional		$2,208.88	$2,650.84	$3,790.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,727.00 / $26,727.00 / $26,727.00	Facility		$26,727.00	$26,727.00	$26,727.00
Security Health Facility/Professional Facility Modifier Low / Median / High Price $35,066.75 / $40,397.19 / $51,568.75	Facility		$35,066.75	$40,397.19	$51,568.75
United Facility/Professional Facility Modifier Low / Median / High Price $9,662.00 / $19,304.00 / $37,141.00	Facility		$9,662.00	$19,304.00	$37,141.00