Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,025.60 / $28,840.32	Facility		$1,479.11	$6,025.60	$28,840.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,818.38	Facility		$1,513.56	$1,949.84	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $8,128.31	Facility		$4,168.69	$4,897.79	$8,128.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,311.31 / $10,471.29	Facility		$1,621.81	$3,311.31	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $25,703.96	Facility		$1,698.24	$3,981.07	$25,703.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,801.89 / $5,888.44	Professional		$2,511.89	$3,801.89	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $34,673.69 / $51,286.14	Facility		$18,620.87	$34,673.69	$51,286.14
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $21,877.62 / $21,877.62 / $32,359.37	Facility	62	$21,877.62	$21,877.62	$32,359.37
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $3,467.37 / $3,467.37 / $5,128.61	Facility	AS	$3,467.37	$3,467.37	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $14,454.40 / $28,840.32	Facility		$8,912.51	$14,454.40	$28,840.32