Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,816.54 / $13,176.10 / $24,715.74	Facility		$1,816.54	$13,176.10	$24,715.74
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $22,149.30 / $27,570.20 / $35,312.00	Facility	50	$22,149.30	$27,570.20	$35,312.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $876.60 / $1,051.92 / $1,341.92	Facility		$876.60	$1,051.92	$1,341.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.65 / $2,676.80 / $4,106.28	Facility		$2,290.65	$2,676.80	$4,106.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $808.63 / $1,212.95 / $2,712.96	Facility		$808.63	$1,212.95	$2,712.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $862.69 / $1,785.23 / $15,090.00	Facility		$862.69	$1,785.23	$15,090.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $808.63 / $1,212.95 / $2,712.96	Facility		$808.63	$1,212.95	$2,712.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,823.90 / $2,222.35 / $3,317.53	Professional		$1,823.90	$2,222.35	$3,317.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00