Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,696.43 / $3,561.66 / $14,482.00	Facility		$1,696.43	$3,561.66	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $17,403.00 / $23,778.77	Facility		$13,123.00	$17,403.00	$23,778.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31,121.85 / $31,121.85 / $31,121.85	Facility		$31,121.85	$31,121.85	$31,121.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,483.97 / $5,239.88 / $8,038.11	Facility		$4,483.97	$5,239.88	$8,038.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,696.43 / $2,351.23 / $3,749.11	Facility		$1,696.43	$2,351.23	$3,749.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,696.43 / $3,561.66 / $19,562.00	Facility		$1,696.43	$3,561.66	$19,562.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,696.43 / $2,351.23 / $3,749.11	Facility		$1,696.43	$2,351.23	$3,749.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,472.30 / $4,230.85 / $6,315.85	Professional		$3,472.30	$4,230.85	$6,315.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,062.04 / $28,062.04 / $77,463.60	Facility		$28,062.04	$28,062.04	$77,463.60
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00