Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.01 / $3,933.05 / $23,975.18	Facility		$1,050.01	$3,933.05	$23,975.18
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 $14,551.22 / $14,551.22 / $14,551.22	Facility		$14,551.22	$14,551.22	$14,551.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,790.77 / $3,261.23 / $5,002.82	Facility		$2,790.77	$3,261.23	$5,002.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,050.01 / $1,522.74 / $2,452.03	Facility		$1,050.01	$1,522.74	$2,452.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,050.01 / $2,168.92 / $15,090.00	Facility		$1,050.01	$2,168.92	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,050.01 / $1,522.74 / $2,452.03	Facility		$1,050.01	$1,522.74	$2,452.03
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 $18,454.61 / $18,454.61 / $50,942.85	Facility		$18,454.61	$18,454.61	$50,942.85
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,828.66 / $4,828.66 / $4,828.66	Facility	AS	$4,828.66	$4,828.66	$4,828.66
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