Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.43 / $3,242.74 / $14,482.00	Facility		$1,545.43	$3,242.74	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $772.72 / $772.72 / $2,889.65	Facility	52	$772.72	$772.72	$2,889.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,082.97 / $4,771.28 / $7,319.26	Facility		$4,082.97	$4,771.28	$7,319.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,545.43 / $2,141.55 / $3,415.40	Facility		$1,545.43	$2,141.55	$3,415.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,545.43 / $3,242.75 / $15,743.00	Facility		$1,545.43	$3,242.75	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,545.43 / $2,141.55 / $3,415.40	Facility		$1,545.43	$2,141.55	$3,415.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,160.30 / $3,850.70 / $5,748.34	Professional		$3,160.30	$3,850.70	$5,748.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50,078.50 / $50,078.50 / $50,078.50	Facility		$50,078.50	$50,078.50	$50,078.50
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $38,006.16 / $38,006.16 / $38,006.16	Facility	52	$38,006.16	$38,006.16	$38,006.16
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $4,750.77 / $4,750.77 / $4,750.77	Facility	AS	$4,750.77	$4,750.77	$4,750.77
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,991.00 / $27,414.00	Facility		$7,301.00	$11,991.00	$27,414.00