Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.27 / $9,449.45 / $16,525.30	Facility		$1,368.27	$9,449.45	$16,525.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,727.45 / $2,018.66 / $3,096.67	Facility		$1,727.45	$2,018.66	$3,096.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $646.98 / $970.47 / $1,520.30	Facility		$646.98	$970.47	$1,520.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $662.05 / $1,349.47 / $13,250.00	Facility		$662.05	$1,349.47	$13,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $646.98 / $970.47 / $1,520.30	Facility		$646.98	$970.47	$1,520.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,310.40 / $1,596.67 / $2,383.52	Professional		$1,310.40	$1,596.67	$2,383.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00