Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,217.06 / $3,592.57 / $33,125.30	Facility		$2,217.06	$3,592.57	$33,125.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,758.67 / $2,722.55 / $2,722.55	Facility		$1,758.67	$2,722.55	$2,722.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.07 / $5,238.82 / $8,450.04	Facility		$4,483.07	$5,238.82	$8,450.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,756.37 / $2,773.04 / $4,620.00	Facility		$1,756.37	$2,773.04	$4,620.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,018.70 / $3,432.91 / $9,547.50	Facility		$2,018.70	$3,432.91	$9,547.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,756.37 / $2,773.04 / $4,620.00	Facility		$1,756.37	$2,773.04	$4,620.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,595.15 / $5,551.46 / $7,273.44	Professional		$3,595.15	$5,551.46	$7,273.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40,195.07 / $40,195.07 / $40,195.07	Facility		$40,195.07	$40,195.07	$40,195.07
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $837.29 / $837.29 / $837.29	Facility	AS	$837.29	$837.29	$837.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00