Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.01 / $2,502.38 / $14,482.00	Facility		$1,190.01	$2,502.38	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $15,738.00 / $23,778.77	Facility		$5,692.00	$15,738.00	$23,778.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30,676.48 / $30,676.48 / $30,676.48	Facility		$30,676.48	$30,676.48	$30,676.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,158.43 / $3,690.87 / $5,661.89	Facility		$3,158.43	$3,690.87	$5,661.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,190.01 / $1,785.02 / $2,780.43	Facility		$1,190.01	$1,785.02	$2,780.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,190.01 / $2,456.44 / $15,090.00	Facility		$1,190.01	$2,456.44	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,190.01 / $1,785.02 / $2,780.43	Facility		$1,190.01	$1,785.02	$2,780.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,436.85 / $2,969.21 / $4,432.43	Professional		$2,436.85	$2,969.21	$4,432.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,168.79 / $29,168.79 / $80,518.70	Facility		$29,168.79	$29,168.79	$80,518.70
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $7,632.03 / $7,632.03 / $7,632.03	Facility	AS	$7,632.03	$7,632.03	$7,632.03
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00