Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,817.43 / $3,815.75 / $14,482.00	Facility		$1,817.43	$3,815.75	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $908.72 / $908.72 / $3,400.26	Facility	52	$908.72	$908.72	$3,400.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,241.00 / $27,412.00	Facility		$11,499.00	$16,241.00	$27,412.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,792.16 / $5,600.01 / $9,032.62	Facility		$4,792.16	$5,600.01	$9,032.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,817.43 / $2,726.15 / $4,255.27	Facility		$1,817.43	$2,726.15	$4,255.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,817.43 / $3,852.95 / $19,754.00	Facility		$1,817.43	$3,852.95	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,817.43 / $2,726.15 / $4,255.27	Facility		$1,817.43	$2,726.15	$4,255.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,734.90 / $4,550.83 / $6,793.50	Professional		$3,734.90	$4,550.83	$6,793.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24,273.70 / $40,016.00 / $40,016.00	Facility		$24,273.70	$40,016.00	$40,016.00
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $6,958.71 / $6,958.71 / $6,958.71	Facility	52	$6,958.71	$6,958.71	$6,958.71
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $869.84 / $869.84 / $869.84	Facility	AS	$869.84	$869.84	$869.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $15,355.00 / $27,414.00	Facility		$8,650.00	$15,355.00	$27,414.00