Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.74 / $2,117.41 / $14,482.00	Facility		$1,002.74	$2,117.41	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,810.00 / $23,778.77	Facility		$10,878.00	$15,810.00	$23,778.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29,342.33 / $29,342.33 / $29,342.33	Facility		$29,342.33	$29,342.33	$29,342.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,669.12 / $3,119.07 / $4,784.74	Facility		$2,669.12	$3,119.07	$4,784.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,002.74 / $1,393.92 / $2,352.67	Facility		$1,002.74	$1,393.92	$2,352.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,002.74 / $2,082.08 / $15,090.00	Facility		$1,002.74	$2,082.08	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,002.74 / $1,393.92 / $2,352.67	Facility		$1,002.74	$1,393.92	$2,352.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,059.19 / $2,509.06 / $3,745.53	Professional		$2,059.19	$2,509.06	$3,745.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,150.78 / $19,150.78 / $54,441.95	Facility		$19,150.78	$19,150.78	$54,441.95
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,010.81 / $5,010.81 / $5,010.81	Facility	AS	$5,010.81	$5,010.81	$5,010.81
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