Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.70 / $9,580.00 / $40,085.94	Facility		$1,510.70	$9,580.00	$40,085.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31,244.36 / $31,244.36 / $31,244.36	Facility		$31,244.36	$31,244.36	$31,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,991.96 / $4,664.92 / $7,156.11	Facility		$3,991.96	$4,664.92	$7,156.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,510.70 / $2,114.98 / $3,396.01	Facility		$1,510.70	$2,114.98	$3,396.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,537.31 / $3,178.58 / $15,090.00	Facility		$1,537.31	$3,178.58	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,510.70 / $2,114.98 / $3,396.01	Facility		$1,510.70	$2,114.98	$3,396.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,209.05 / $3,910.10 / $5,837.02	Professional		$3,209.05	$3,910.10	$5,837.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,777.28 / $28,777.28 / $79,437.95	Facility		$28,777.28	$28,777.28	$79,437.95
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $7,529.59 / $7,529.59 / $7,529.59	Facility	AS	$7,529.59	$7,529.59	$7,529.59
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,721.00 / $17,450.00	Facility		$7,984.00	$13,721.00	$17,450.00