Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,090.92 / $4,076.21 / $20,480.72	Facility		$1,090.92	$4,076.21	$20,480.72
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 $20,209.12 / $20,209.12 / $20,209.12	Facility		$20,209.12	$20,209.12	$20,209.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,907.91 / $3,398.13 / $5,212.82	Facility		$2,907.91	$3,398.13	$5,212.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,090.92 / $1,476.02 / $2,541.28	Facility		$1,090.92	$1,476.02	$2,541.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,090.92 / $2,210.61 / $15,090.00	Facility		$1,090.92	$2,210.61	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,090.92 / $1,476.02 / $2,541.28	Facility		$1,090.92	$1,476.02	$2,541.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,214.55 / $2,698.34 / $4,028.10	Professional		$2,214.55	$2,698.34	$4,028.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,997.16 / $17,997.16 / $49,680.10	Facility		$17,997.16	$17,997.16	$49,680.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,708.97 / $4,708.97 / $4,708.97	Facility	AS	$4,708.97	$4,708.97	$4,708.97
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