Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,680.19 / $6,303.76 / $41,848.60	Facility		$1,680.19	$6,303.76	$41,848.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,732.71 / $2,079.25 / $2,673.78	Facility		$1,732.71	$2,079.25	$2,673.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,439.82 / $5,188.28 / $7,958.95	Facility		$4,439.82	$5,188.28	$7,958.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,680.19 / $2,358.02 / $3,833.00	Facility		$1,680.19	$2,358.02	$3,833.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,711.27 / $3,537.02 / $22,275.00	Facility		$1,711.27	$3,537.02	$22,275.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,680.19 / $2,358.02 / $3,833.00	Facility		$1,680.19	$2,358.02	$3,833.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,578.90 / $4,360.75 / $6,509.74	Professional		$3,578.90	$4,360.75	$6,509.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,824.49 / $18,824.49 / $18,824.49	Facility		$18,824.49	$18,824.49	$18,824.49
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $5,209.43 / $5,209.43 / $5,209.43	Facility	62	$5,209.43	$5,209.43	$5,209.43
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $833.51 / $833.51 / $833.51	Facility	AS	$833.51	$833.51	$833.51
United Facility/Professional Facility Modifier Low / Median / High Price $9,147.00 / $15,618.00 / $23,474.00	Facility		$9,147.00	$15,618.00	$23,474.00