Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.61 / $3,935.94 / $27,274.52	Facility		$1,045.61	$3,935.94	$27,274.52
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 $2,791.67 / $3,262.29 / $5,004.43	Facility		$2,791.67	$3,262.29	$5,004.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,045.61 / $1,472.30 / $2,310.82	Facility		$1,045.61	$1,472.30	$2,310.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,045.61 / $2,165.91 / $15,090.00	Facility		$1,045.61	$2,165.91	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,045.61 / $1,463.87 / $2,310.82	Facility		$1,045.61	$1,463.87	$2,310.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,144.35 / $2,612.81 / $3,900.41	Professional		$2,144.35	$2,612.81	$3,900.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,495.77 / $18,495.77 / $51,056.45	Facility		$18,495.77	$18,495.77	$51,056.45
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,839.43 / $4,839.43 / $4,839.43	Facility	AS	$4,839.43	$4,839.43	$4,839.43
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $11,891.00 / $15,090.00	Facility		$8,627.00	$11,891.00	$15,090.00