Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,073.80 / $10,000.00	Facility		$588.84	$4,073.80	$10,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility	50	$9,549.93	$9,549.93	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,388.44	Facility		$1,819.70	$2,137.96	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,466.84 / $8,912.51	Facility		$691.83	$4,466.84	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $6,606.93 / $12,302.69	Facility		$691.83	$6,606.93	$12,302.69
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	50	$6,456.54	$6,456.54	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,659.59 / $2,290.87	Professional		$851.14	$1,659.59	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $8,709.64	Facility		$5,888.44	$8,709.64	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57