Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.07 / $2,143.23 / $14,482.00	Facility		$1,011.07	$2,143.23	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,715.07 / $3,172.78 / $4,867.12	Facility		$2,715.07	$3,172.78	$4,867.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,011.07 / $1,311.35 / $2,234.46	Facility		$1,011.07	$1,311.35	$2,234.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,011.07 / $2,047.98 / $15,090.00	Facility		$1,011.07	$2,047.98	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,011.07 / $1,219.26 / $2,234.46	Facility		$1,011.07	$1,219.26	$2,234.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,067.65 / $2,519.35 / $3,760.90	Professional		$2,067.65	$2,519.35	$3,760.90
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 $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00