Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.76 / $4,101.83 / $23,388.58	Facility		$1,098.76	$4,101.83	$23,388.58
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 $10,351.86 / $10,351.86 / $10,351.86	Facility		$10,351.86	$10,351.86	$10,351.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,916.93 / $3,408.66 / $5,228.97	Facility		$2,916.93	$3,408.66	$5,228.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.00 / $1,417.36 / $2,557.25	Facility		$1,071.00	$1,417.36	$2,557.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,072.49 / $2,241.89 / $15,090.00	Facility		$1,072.49	$2,241.89	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,071.00 / $1,417.36 / $2,557.25	Facility		$1,071.00	$1,417.36	$2,557.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,213.25 / $2,696.76 / $4,025.73	Professional		$2,213.25	$2,696.76	$4,025.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,516.16 / $9,516.16 / $26,268.80	Facility		$9,516.16	$9,516.16	$26,268.80
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,489.91 / $2,489.91 / $2,489.91	Facility	AS	$2,489.91	$2,489.91	$2,489.91
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