Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.80 / $2,054.84 / $17,823.00	Facility		$467.80	$2,054.84	$17,823.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,521.09 / $10,105.20 / $13,759.96	Facility	50	$3,521.09	$10,105.20	$13,759.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,458.01 / $1,703.80 / $2,613.67	Facility		$1,458.01	$1,703.80	$2,613.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.42 / $819.36 / $1,658.37	Facility		$512.42	$819.36	$1,658.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $547.33 / $1,584.39 / $15,702.00	Facility		$547.33	$1,584.39	$15,702.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,803.73 / $5,107.20 / $7,471.50	Facility	50	$2,803.73	$5,107.20	$7,471.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $512.42 / $819.36 / $1,658.37	Facility		$512.42	$819.36	$1,658.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,068.46 / $1,369.94 / $1,944.15	Professional		$1,068.46	$1,369.94	$1,944.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,504.80 / $19,913.50 / $19,913.50	Facility		$13,504.80	$19,913.50	$19,913.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00