Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.41 / $2,318.69 / $14,482.00	Facility		$1,091.41	$2,318.69	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $15,055.00 / $22,609.00	Facility		$8,139.00	$15,055.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21,814.30 / $21,814.30 / $21,814.30	Facility		$21,814.30	$21,814.30	$21,814.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,923.23 / $3,416.03 / $5,240.28	Facility		$2,923.23	$3,416.03	$5,240.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $792.00 / $1,276.95 / $2,318.69	Facility		$792.00	$1,276.95	$2,318.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,030.53 / $2,215.64 / $11,598.00	Facility		$1,030.53	$2,215.64	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $792.00 / $1,276.95 / $2,318.69	Facility		$792.00	$1,276.95	$2,318.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,239.25 / $2,728.44 / $4,073.02	Professional		$2,239.25	$2,728.44	$4,073.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,300.99 / $17,300.99 / $47,758.35	Facility		$17,300.99	$17,300.99	$47,758.35
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,526.82 / $4,526.82 / $4,526.82	Facility	AS	$4,526.82	$4,526.82	$4,526.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00