Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.33 / $4,800.93 / $22,120.28	Facility		$1,287.33	$4,800.93	$22,120.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20,048.88 / $20,048.88 / $20,048.88	Facility		$20,048.88	$20,048.88	$20,048.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,421.55 / $3,998.35 / $6,133.58	Facility		$3,421.55	$3,998.35	$6,133.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,287.33 / $1,758.36 / $2,993.10	Facility		$1,287.33	$1,758.36	$2,993.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,287.33 / $2,644.98 / $15,090.00	Facility		$1,287.33	$2,644.98	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,287.33 / $1,758.36 / $2,993.10	Facility		$1,287.33	$1,758.36	$2,993.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,611.05 / $3,181.46 / $4,749.30	Professional		$2,611.05	$3,181.46	$4,749.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,465.18 / $18,465.18 / $50,972.05	Facility		$18,465.18	$18,465.18	$50,972.05
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,831.43 / $4,831.43 / $4,831.43	Facility	AS	$4,831.43	$4,831.43	$4,831.43
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00