Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $16,982.44 / $41,686.94	Facility		$3,548.13	$16,982.44	$41,686.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,019.95	Facility		$1,621.81	$2,089.30	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $8,317.64	Facility		$4,466.84	$5,248.07	$8,317.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,548.13 / $10,471.29	Facility		$1,698.24	$3,548.13	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,890.45 / $23,442.29	Facility		$1,778.28	$3,890.45	$23,442.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $6,165.95	Professional		$2,691.53	$4,073.80	$6,165.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $18,620.87	Facility		$4,466.84	$4,466.84	$18,620.87
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,754.23 / $2,754.23 / $11,481.54	Facility	62	$2,754.23	$2,754.23	$11,481.54
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $446.68 / $446.68 / $1,862.09	Facility	AS	$446.68	$446.68	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $19,498.45 / $25,118.86	Facility		$10,000.00	$19,498.45	$25,118.86