Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,280.22 / $16,672.53 / $32,722.75	Facility		$3,280.22	$16,672.53	$32,722.75
Aetna Facility/Professional Facility Modifier AS Low / Median / High Price $5,259.24 / $5,259.24 / $5,259.24	Facility	AS	$5,259.24	$5,259.24	$5,259.24
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 $859.83 / $1,302.48 / $1,302.48	Facility		$859.83	$1,302.48	$1,302.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,333.90 / $2,727.35 / $4,399.12	Facility		$2,333.90	$2,727.35	$4,399.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $899.81 / $1,098.84 / $4,118.83	Facility		$899.81	$1,098.84	$4,118.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $981.61 / $10,211.00 / $17,327.00	Facility		$981.61	$10,211.00	$17,327.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $899.81 / $1,098.84 / $4,118.83	Facility		$899.81	$1,098.84	$4,118.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,779.70 / $2,738.00 / $3,237.14	Professional		$1,779.70	$2,738.00	$3,237.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,770.10 / $27,770.10 / $27,770.10	Facility		$27,770.10	$27,770.10	$27,770.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,632.21 / $2,632.21 / $2,632.21	Facility	AS	$2,632.21	$2,632.21	$2,632.21
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00