Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,000.00 / $14,454.40	Facility		$467.74	$1,000.00	$14,454.40
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility	54	$1,659.59	$1,659.59	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,398.83	Facility		$1,258.93	$1,479.11	$2,398.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $954.99 / $3,981.07	Facility		$457.09	$954.99	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,000.00 / $5,248.07	Facility		$457.09	$1,000.00	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,737.80	Professional		$758.58	$1,148.15	$1,737.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $4,786.30	Facility		$1,737.80	$3,235.94	$4,786.30
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $2,238.72 / $2,238.72 / $3,311.31	Facility	54	$2,238.72	$2,238.72	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54