Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,488.68 / $3,130.40 / $14,482.00	Facility		$1,488.68	$3,130.40	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,928.88 / $4,591.21 / $7,043.04	Facility		$3,928.88	$4,591.21	$7,043.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,488.68 / $2,077.17 / $3,289.98	Facility		$1,488.68	$2,077.17	$3,289.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,488.68 / $3,130.40 / $8,103.00	Facility		$1,488.68	$3,130.40	$8,103.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,488.68 / $2,077.17 / $3,289.98	Facility		$1,488.68	$2,077.17	$3,289.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,079.05 / $3,751.70 / $5,600.56	Professional		$3,079.05	$3,751.70	$5,600.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $9,070.70	Facility		$2,469.60	$2,469.60	$9,070.70
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $717.09 / $717.09 / $717.09	Facility	AS	$717.09	$717.09	$717.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00