Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.22 / $4,236.35 / $19,359.59	Facility		$964.22	$4,236.35	$19,359.59
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.96 / $8,748.20 / $20,675.30	Facility	50	$0.96	$8,748.20	$20,675.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,092.59 / $1,636.92 / $1,636.92	Facility		$1,092.59	$1,636.92	$1,636.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,008.84 / $3,516.07 / $5,671.29	Facility		$3,008.84	$3,516.07	$5,671.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $964.22 / $1,736.75 / $4,164.47	Facility		$964.22	$1,736.75	$4,164.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,162.09 / $4,164.47 / $16,779.00	Facility		$1,162.09	$4,164.47	$16,779.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,477.02 / $3,477.02 / $41,936.28	Facility	50	$3,477.02	$3,477.02	$41,936.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $964.22 / $1,736.75 / $4,164.47	Facility		$964.22	$1,736.75	$4,164.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,291.90 / $3,539.05 / $4,168.79	Professional		$2,291.90	$3,539.05	$4,168.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,159.95 / $30,159.95 / $30,159.95	Facility		$30,159.95	$30,159.95	$30,159.95
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,858.74 / $2,858.74 / $2,858.74	Facility	AS	$2,858.74	$2,858.74	$2,858.74
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