Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $26,915.35 / $36,307.81	Facility		$1,479.11	$26,915.35	$36,307.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,630.27	Facility		$1,445.44	$1,819.70	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,570.88 / $7,244.36	Facility		$3,890.45	$4,570.88	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,162.28 / $10,000.00	Facility		$1,513.56	$3,162.28	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,311.31 / $15,135.61	Facility		$1,548.82	$3,311.31	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $5,370.32	Professional		$2,344.23	$3,548.13	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53,703.18 / $79,432.82 / $79,432.82	Facility		$53,703.18	$79,432.82	$79,432.82
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $33,884.42 / $33,884.42 / $50,118.72	Facility	62	$33,884.42	$33,884.42	$50,118.72
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,370.32 / $5,370.32 / $7,943.28	Facility	AS	$5,370.32	$5,370.32	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79