Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.43 / $5,355.64 / $71,564.64	Facility		$1,431.43	$5,355.64	$71,564.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,457.51 / $1,749.01 / $2,241.17	Facility		$1,457.51	$1,749.01	$2,241.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,774.79 / $4,411.14 / $6,766.81	Facility		$3,774.79	$4,411.14	$6,766.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,431.43 / $2,147.15 / $3,410.09	Facility		$1,431.43	$2,147.15	$3,410.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,438.77 / $3,005.03 / $19,754.00	Facility		$1,438.77	$3,005.03	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,431.43 / $2,147.15 / $3,410.09	Facility		$1,431.43	$2,147.15	$3,410.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,009.50 / $3,666.96 / $5,474.05	Professional		$3,009.50	$3,666.96	$5,474.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,905.79 / $15,905.79 / $15,905.79	Facility		$15,905.79	$15,905.79	$15,905.79
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $4,380.60 / $4,380.60 / $4,380.60	Facility	62	$4,380.60	$4,380.60	$4,380.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $700.90 / $700.90 / $700.90	Facility	AS	$700.90	$700.90	$700.90
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $15,355.00 / $27,414.00	Facility		$8,650.00	$15,355.00	$27,414.00