Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.93 / $2,122.04 / $14,482.00	Facility		$1,004.93	$2,122.04	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,245.09 / $10,245.09 / $10,245.09	Facility		$10,245.09	$10,245.09	$10,245.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,672.72 / $3,123.29 / $4,791.20	Facility		$2,672.72	$3,123.29	$4,791.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,004.93 / $1,406.90 / $2,357.83	Facility		$1,004.93	$1,406.90	$2,357.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,004.93 / $2,086.75 / $15,090.00	Facility		$1,004.93	$2,086.75	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,004.93 / $1,406.90 / $2,357.83	Facility		$1,004.93	$1,406.90	$2,357.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,058.55 / $2,508.26 / $3,744.34	Professional		$2,058.55	$2,508.26	$3,744.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,404.75 / $9,404.75 / $25,961.25	Facility		$9,404.75	$9,404.75	$25,961.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,460.76 / $2,460.76 / $2,460.76	Facility	AS	$2,460.76	$2,460.76	$2,460.76
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