Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,667.13 / $6,232.98 / $21,243.30	Facility		$1,667.13	$6,232.98	$21,243.30
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $833.57 / $833.57 / $3,116.49	Facility	52	$833.57	$833.57	$3,116.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $29,695.00	Facility		$12,080.00	$18,175.43	$29,695.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,401.07 / $5,143.00 / $7,889.49	Facility		$4,401.07	$5,143.00	$7,889.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,667.13 / $2,313.14 / $3,684.36	Facility		$1,667.13	$2,313.14	$3,684.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,667.13 / $3,497.31 / $14,270.00	Facility		$1,667.13	$3,497.31	$14,270.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,667.13 / $2,313.14 / $3,684.36	Facility		$1,667.13	$2,313.14	$3,684.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,410.55 / $4,155.62 / $6,203.53	Professional		$3,410.55	$4,155.62	$6,203.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,208.78 / $22,208.78 / $22,208.78	Facility		$22,208.78	$22,208.78	$22,208.78
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $6,354.39 / $6,354.39 / $6,354.39	Facility	52	$6,354.39	$6,354.39	$6,354.39
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $794.30 / $794.30 / $794.30	Facility	AS	$794.30	$794.30	$794.30
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00