Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.75 / $1,456.29 / $14,482.00	Facility		$591.75	$1,456.29	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,536.62 / $9,536.62 / $9,536.62	Facility	50	$9,536.62	$9,536.62	$9,536.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,835.58 / $2,145.02 / $3,459.84	Facility		$1,835.58	$2,145.02	$3,459.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $591.75 / $908.99 / $2,103.57	Facility		$591.75	$908.99	$2,103.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $711.96 / $2,478.08 / $11,598.00	Facility		$711.96	$2,478.08	$11,598.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $6,472.62 / $6,472.62 / $6,472.62	Facility	50	$6,472.62	$6,472.62	$6,472.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $591.75 / $908.99 / $2,103.57	Facility		$591.75	$908.99	$2,103.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,409.85 / $2,155.94 / $2,564.41	Professional		$1,409.85	$2,155.94	$2,564.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,723.79 / $8,723.79 / $8,723.79	Facility		$8,723.79	$8,723.79	$8,723.79
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