Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $8,317.64 / $23,442.29	Facility		$41.69	$8,317.64	$23,442.29
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,317.64 / $14,125.38 / $29,512.09	Facility	50	$8,317.64	$14,125.38	$29,512.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $21,877.62	Facility		$9,772.37	$13,182.57	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $5,248.07	Facility		$2,818.38	$3,235.94	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,466.84 / $8,912.51	Facility		$1,096.48	$4,466.84	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $7,585.78 / $15,848.93	Facility		$1,096.48	$7,585.78	$15,848.93
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $13,803.84 / $16,218.10 / $21,877.62	Facility	50	$13,803.84	$16,218.10	$21,877.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,454.71 / $3,467.37	Professional		$1,288.25	$2,454.71	$3,467.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $15,135.61 / $15,135.61	Facility		$10,232.93	$15,135.61	$15,135.61
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,023.29 / $1,023.29 / $1,513.56	Facility	AS	$1,023.29	$1,023.29	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87