Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.85 / $823.55 / $6,461.00	Facility		$337.85	$823.55	$6,461.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,512.90 / $3,187.93 / $9,402.64	Facility	50	$2,512.90	$3,187.93	$9,402.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,515.43 / $1,946.90 / $6,158.85	Professional	50	$1,515.43	$1,946.90	$6,158.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $653.66 / $1,498.23 / $2,929.99	Professional	50	$653.66	$1,498.23	$2,929.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,240.83 / $1,450.02 / $2,224.37	Facility		$1,240.83	$1,450.02	$2,224.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $391.69 / $603.67 / $1,265.91	Facility		$391.69	$603.67	$1,265.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $395.28 / $846.58 / $4,821.00	Facility		$395.28	$846.58	$4,821.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.86 / $0.86 / $0.86	Facility	50	$0.86	$0.86	$0.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $391.69 / $603.67 / $1,265.91	Facility		$391.69	$603.67	$1,265.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $805.09 / $1,092.96 / $1,518.00	Professional		$805.09	$1,092.96	$1,518.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $772.30 / $1,032.18 / $2,819.10	Facility		$772.30	$1,032.18	$2,819.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00