Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.29 / $2,098.04 / $14,482.00	Facility		$1,004.29	$2,098.04	$14,482.00
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 $31,837.56 / $31,837.56 / $31,837.56	Facility		$31,837.56	$31,837.56	$31,837.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,657.40 / $3,105.39 / $4,763.74	Facility		$2,657.40	$3,105.39	$4,763.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,004.29 / $1,282.67 / $2,219.48	Facility		$1,004.29	$1,282.67	$2,219.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,015.38 / $2,056.44 / $15,090.00	Facility		$1,015.38	$2,056.44	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,004.29 / $1,282.67 / $2,219.48	Facility		$1,004.29	$1,282.67	$2,219.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,100.80 / $2,559.73 / $3,821.19	Professional		$2,100.80	$2,559.73	$3,821.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,953.54 / $28,953.54 / $79,924.50	Facility		$28,953.54	$28,953.54	$79,924.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $7,575.71 / $7,575.71 / $7,575.71	Facility	AS	$7,575.71	$7,575.71	$7,575.71
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