Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.70 / $4,327.79 / $30,572.92	Facility		$1,154.70	$4,327.79	$30,572.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26,597.20 / $26,597.20 / $26,597.20	Facility		$26,597.20	$26,597.20	$26,597.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,062.91 / $3,579.25 / $5,490.66	Facility		$3,062.91	$3,579.25	$5,490.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,154.70 / $1,732.05 / $2,698.13	Facility		$1,154.70	$1,732.05	$2,698.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,154.70 / $2,383.58 / $21,512.00	Facility		$1,154.70	$2,383.58	$21,512.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,154.70 / $1,732.05 / $2,698.13	Facility		$1,154.70	$1,732.05	$2,698.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,362.75 / $2,878.92 / $4,297.66	Professional		$2,362.75	$2,878.92	$4,297.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,836.36 / $19,836.36 / $54,757.10	Facility		$19,836.36	$19,836.36	$54,757.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,190.20 / $5,190.20 / $5,190.20	Facility	AS	$5,190.20	$5,190.20	$5,190.20
United Facility/Professional Facility Modifier Low / Median / High Price $8,251.00 / $17,119.00 / $27,414.00	Facility		$8,251.00	$17,119.00	$27,414.00