Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.55 / $2,934.07 / $14,482.00	Facility		$1,393.55	$2,934.07	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $17,403.00 / $23,778.77	Facility		$13,123.00	$17,403.00	$23,778.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33,163.92 / $33,163.92 / $33,163.92	Facility		$33,163.92	$33,163.92	$33,163.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,694.59 / $4,317.42 / $6,623.04	Facility		$3,694.59	$4,317.42	$6,623.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,393.55 / $2,020.93 / $3,260.08	Facility		$1,393.55	$2,020.93	$3,260.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,393.55 / $2,940.00 / $19,562.00	Facility		$1,393.55	$2,940.00	$19,562.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,393.55 / $2,020.93 / $3,260.08	Facility		$1,393.55	$2,020.93	$3,260.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,856.75 / $3,480.84 / $5,196.21	Professional		$2,856.75	$3,480.84	$5,196.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,375.56 / $29,375.56 / $81,089.45	Facility		$29,375.56	$29,375.56	$81,089.45
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $7,686.13 / $7,686.13 / $7,686.13	Facility	AS	$7,686.13	$7,686.13	$7,686.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,566.00 / $22,691.00	Facility		$7,775.00	$14,566.00	$22,691.00