Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.75 / $9,580.00 / $26,690.30	Facility		$1,484.75	$9,580.00	$26,690.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,509.27 / $1,895.23 / $14,551.22	Facility		$1,509.27	$1,895.23	$14,551.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,920.77 / $4,581.72 / $7,028.50	Facility		$3,920.77	$4,581.72	$7,028.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,484.75 / $2,173.78 / $3,545.71	Facility		$1,484.75	$2,173.78	$3,545.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,491.69 / $3,147.67 / $15,090.00	Facility		$1,491.69	$3,147.67	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,484.75 / $2,173.78 / $3,545.71	Facility		$1,484.75	$2,173.78	$3,545.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,121.95 / $3,803.98 / $5,678.59	Professional		$3,121.95	$3,803.98	$5,678.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,841.67 / $28,841.67 / $79,615.70	Facility		$28,841.67	$28,841.67	$79,615.70
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $47,165.25 / $47,165.25 / $47,165.25	Facility	62	$47,165.25	$47,165.25	$47,165.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $7,546.44 / $7,546.44 / $7,546.44	Facility	AS	$7,546.44	$7,546.44	$7,546.44
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00