Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $670.99 / $3,093.20 / $8,466.00	Facility		$670.99	$3,093.20	$8,466.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $806.20 / $16,937.95 / $17,207.39	Facility	50	$806.20	$16,937.95	$17,207.39
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 $2,084.29 / $2,435.66 / $3,928.63	Facility		$2,084.29	$2,435.66	$3,928.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $670.99 / $1,030.18 / $2,083.73	Facility		$670.99	$1,030.18	$2,083.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $806.94 / $5,266.00 / $15,743.00	Facility		$806.94	$5,266.00	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $670.99 / $1,042.64 / $2,083.73	Facility		$670.99	$1,042.64	$2,083.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,595.75 / $2,129.54 / $2,902.55	Professional		$1,595.75	$2,129.54	$2,902.55
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