Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.58 / $6,350.63 / $8,926.25	Facility		$655.58	$6,350.63	$8,926.25
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,688.00 / $7,905.77 / $10,786.10	Facility	50	$2,688.00	$7,905.77	$10,786.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $11,783.00 / $19,639.00	Facility		$8,139.00	$11,783.00	$19,639.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,035.63 / $2,378.79 / $3,836.91	Facility		$2,035.63	$2,378.79	$3,836.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $655.58 / $1,032.99 / $2,762.42	Facility		$655.58	$1,032.99	$2,762.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $772.02 / $2,762.42 / $12,631.00	Facility		$772.02	$2,762.42	$12,631.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $655.58 / $1,032.99 / $2,762.42	Facility		$655.58	$1,032.99	$2,762.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,563.90 / $2,107.86 / $2,844.61	Professional		$1,563.90	$2,107.86	$2,844.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,214.55 / $15,214.55 / $15,214.55	Facility		$15,214.55	$15,214.55	$15,214.55
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,442.13 / $1,442.13 / $1,442.13	Facility	AS	$1,442.13	$1,442.13	$1,442.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00