Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.95 / $7,436.10 / $14,482.00	Facility		$773.95	$7,436.10	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,228.40 / $7,816.32 / $20,669.27	Facility	50	$1,228.40	$7,816.32	$20,669.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $11,783.00 / $19,639.00	Facility		$8,139.00	$11,783.00	$19,639.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.57 / $1,401.74 / $1,401.74	Facility		$914.57	$1,401.74	$1,401.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,387.07 / $2,789.48 / $4,499.33	Facility		$2,387.07	$2,789.48	$4,499.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $773.95 / $1,211.83 / $2,267.29	Facility		$773.95	$1,211.83	$2,267.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $905.52 / $4,188.91 / $12,631.00	Facility		$905.52	$4,188.91	$12,631.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $5,742.74 / $10,489.20 / $16,279.20	Facility	50	$5,742.74	$10,489.20	$16,279.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $773.95 / $1,211.83 / $2,267.29	Facility		$773.95	$1,211.83	$2,267.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,889.55 / $2,572.91 / $3,436.95	Professional		$1,889.55	$2,572.91	$3,436.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,214.55 / $15,214.55 / $15,214.55	Facility		$15,214.55	$15,214.55	$15,214.55
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,442.13 / $1,442.13 / $1,442.13	Facility	AS	$1,442.13	$1,442.13	$1,442.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00