Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.54 / $1,547.62 / $14,482.00	Facility		$629.54	$1,547.62	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,406.75 / $12,859.11 / $12,859.11	Facility	50	$6,406.75	$12,859.11	$12,859.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,444.00 / $19,639.00	Facility		$8,712.00	$12,444.00	$19,639.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,954.53 / $2,284.02 / $3,684.05	Facility		$1,954.53	$2,284.02	$3,684.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $629.54 / $1,137.30 / $2,614.58	Facility		$629.54	$1,137.30	$2,614.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $687.83 / $4,635.00 / $15,743.00	Facility		$687.83	$4,635.00	$15,743.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.49 / $0.49 / $0.49	Facility	50	$0.49	$0.49	$0.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $629.54 / $1,137.30 / $2,614.58	Facility		$629.54	$1,137.30	$2,614.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,500.85 / $2,317.54 / $2,756.66	Professional		$1,500.85	$2,317.54	$2,756.66
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
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