Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.52 / $2,151.48 / $14,482.00	Facility		$1,020.52	$2,151.48	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20,158.43 / $20,158.43 / $20,158.43	Facility		$20,158.43	$20,158.43	$20,158.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,713.27 / $3,170.67 / $4,863.89	Facility		$2,713.27	$3,170.67	$4,863.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,020.52 / $1,434.33 / $2,255.35	Facility		$1,020.52	$1,434.33	$2,255.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,020.52 / $2,055.87 / $15,090.00	Facility		$1,020.52	$2,055.87	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,020.52 / $1,428.73 / $2,255.35	Facility		$1,020.52	$1,428.73	$2,255.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,093.00 / $2,550.23 / $3,807.01	Professional		$2,093.00	$2,550.23	$3,807.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,512.23 / $18,512.23 / $51,101.90	Facility		$18,512.23	$18,512.23	$51,101.90
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,843.72 / $4,843.72 / $4,843.72	Facility	AS	$4,843.72	$4,843.72	$4,843.72
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00