Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.45 / $2,479.09 / $14,482.00	Facility		$1,175.45	$2,479.09	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20,855.59 / $20,855.59 / $20,855.59	Facility		$20,855.59	$20,855.59	$20,855.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,117.88 / $3,643.48 / $5,589.20	Facility		$3,117.88	$3,643.48	$5,589.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,175.45 / $1,763.18 / $2,846.38	Facility		$1,175.45	$1,763.18	$2,846.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,193.93 / $2,491.94 / $15,090.00	Facility		$1,193.93	$2,491.94	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,175.45 / $1,763.18 / $2,846.38	Facility		$1,175.45	$1,763.18	$2,846.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,506.40 / $3,053.95 / $4,558.95	Professional		$2,506.40	$3,053.95	$4,558.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,444.03 / $18,444.03 / $50,913.65	Facility		$18,444.03	$18,444.03	$50,913.65
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,825.89 / $4,825.89 / $4,825.89	Facility	AS	$4,825.89	$4,825.89	$4,825.89
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