Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.71 / $6,461.00 / $24,387.26	Facility		$632.71	$6,461.00	$24,387.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,164.82 / $6,461.00 / $18,305.88	Facility	50	$1,164.82	$6,461.00	$18,305.88
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 $1,967.15 / $2,298.76 / $3,707.83	Facility		$1,967.15	$2,298.76	$3,707.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $632.71 / $1,142.10 / $2,884.47	Facility		$632.71	$1,142.10	$2,884.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $761.55 / $2,884.47 / $16,779.00	Facility		$761.55	$2,884.47	$16,779.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $632.71 / $1,142.10 / $2,884.47	Facility		$632.71	$1,142.10	$2,884.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,504.75 / $2,323.57 / $2,737.02	Professional		$1,504.75	$2,323.57	$2,737.02
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
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,706.64 / $1,706.64 / $1,706.64	Facility	AS	$1,706.64	$1,706.64	$1,706.64
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00