Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,698.37 / $5,202.07 / $9,271.24	Facility		$3,698.37	$5,202.07	$9,271.24
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 $2,550.35 / $3,939.09 / $3,939.09	Facility		$2,550.35	$3,939.09	$3,939.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,588.99 / $7,699.76 / $12,419.43	Facility		$6,588.99	$7,699.76	$12,419.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,543.23 / $3,698.37 / $5,882.06	Facility		$2,543.23	$3,698.37	$5,882.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,312.03 / $3,698.37 / $7,700.00	Facility		$2,312.03	$3,698.37	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,543.23 / $3,698.37 / $5,882.06	Facility		$2,543.23	$3,698.37	$5,882.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,257.85 / $6,912.05 / $9,185.87	Professional		$5,257.85	$6,912.05	$9,185.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,845.76 / $24,845.76 / $24,845.76	Facility		$24,845.76	$24,845.76	$24,845.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00