Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,237.41 / $4,655.68 / $18,687.40	Facility		$1,237.41	$4,655.68	$18,687.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,295.40 / $3,850.93 / $5,907.43	Facility		$3,295.40	$3,850.93	$5,907.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,237.41 / $1,754.81 / $2,734.68	Facility		$1,237.41	$1,754.81	$2,734.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,237.41 / $2,496.19 / $13,250.00	Facility		$1,237.41	$2,496.19	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,237.41 / $1,741.53 / $2,734.68	Facility		$1,237.41	$1,741.53	$2,734.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,540.19 / $3,095.14 / $4,620.43	Professional		$2,540.19	$3,095.14	$4,620.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,248.53 / $9,248.53 / $25,530.00	Facility		$9,248.53	$9,248.53	$25,530.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,419.88 / $2,419.88 / $2,419.88	Facility	AS	$2,419.88	$2,419.88	$2,419.88
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00