Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.31 / $1,776.47 / $14,482.00	Facility		$472.31	$1,776.47	$14,482.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.23 / $747.58 / $1,332.35	Facility	54	$354.23	$747.58	$1,332.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.28 / $1,487.93 / $2,282.52	Facility		$1,273.28	$1,487.93	$2,282.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $443.01 / $567.04 / $1,107.53	Facility		$443.01	$567.04	$1,107.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.01 / $939.99 / $5,261.00	Facility		$443.01	$939.99	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $443.01 / $567.04 / $1,107.53	Facility		$443.01	$567.04	$1,107.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $962.65 / $1,172.95 / $1,750.99	Professional		$962.65	$1,172.95	$1,750.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $3,154.80 / $3,154.80 / $3,154.80	Facility	54	$3,154.80	$3,154.80	$3,154.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00