Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.19 / $1,263.02 / $14,482.00	Facility		$512.19	$1,263.02	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,894.11 / $6,894.11 / $6,894.11	Facility	50	$6,894.11	$6,894.11	$6,894.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,596.78 / $1,865.97 / $3,009.74	Facility		$1,596.78	$1,865.97	$3,009.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.19 / $865.77 / $1,984.50	Facility		$512.19	$865.77	$1,984.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $617.47 / $2,787.84 / $16,779.00	Facility		$617.47	$2,787.84	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $512.19 / $865.77 / $1,984.50	Facility		$512.19	$865.77	$1,984.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,218.75 / $1,768.89 / $2,216.81	Professional		$1,218.75	$1,768.89	$2,216.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,005.20 / $18,005.20 / $18,005.20	Facility		$18,005.20	$18,005.20	$18,005.20
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