Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.82 / $3,627.36 / $16,280.54	Facility		$1,086.82	$3,627.36	$16,280.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $18,603.00	Facility		$7,084.00	$12,066.00	$18,603.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $965.93 / $1,466.18 / $1,466.18	Facility		$965.93	$1,466.18	$1,466.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,598.83 / $3,036.94 / $4,898.47	Facility		$2,598.83	$3,036.94	$4,898.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,012.00 / $1,226.63 / $4,078.15	Facility		$1,012.00	$1,226.63	$4,078.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,086.82 / $4,078.15 / $12,216.00	Facility		$1,086.82	$4,078.15	$12,216.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,012.00 / $1,226.63 / $4,078.15	Facility		$1,012.00	$1,226.63	$4,078.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,995.50 / $3,070.00 / $3,629.66	Professional		$1,995.50	$3,070.00	$3,629.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,325.59 / $8,325.59 / $8,325.59	Facility		$8,325.59	$8,325.59	$8,325.59
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $464.74 / $464.74 / $464.74	Facility	AS	$464.74	$464.74	$464.74
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00