Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.32 / $2,419.98 / $14,482.00	Facility		$1,146.32	$2,419.98	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$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 $3,060.20 / $3,576.09 / $5,485.81	Facility		$3,060.20	$3,576.09	$5,485.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,146.32 / $1,577.18 / $2,688.88	Facility		$1,146.32	$1,577.18	$2,688.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,146.32 / $2,359.71 / $11,598.00	Facility		$1,146.32	$2,359.71	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,146.32 / $1,577.18 / $2,688.88	Facility		$1,146.32	$1,577.18	$2,688.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.55 / $2,856.74 / $4,264.56	Professional		$2,344.55	$2,856.74	$4,264.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00