Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.78 / $2,948.38 / $14,482.00	Facility		$1,401.78	$2,948.38	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $700.89 / $700.89 / $2,627.33	Facility	52	$700.89	$700.89	$2,627.33
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 $3,707.21 / $4,332.17 / $6,987.63	Facility		$3,707.21	$4,332.17	$6,987.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,401.78 / $2,102.67 / $3,471.27	Facility		$1,401.78	$2,102.67	$3,471.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,401.78 / $2,971.77 / $19,754.00	Facility		$1,401.78	$2,971.77	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,401.78 / $2,102.67 / $3,471.27	Facility		$1,401.78	$2,102.67	$3,471.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,882.10 / $3,511.73 / $5,242.32	Professional		$2,882.10	$3,511.73	$5,242.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,729.37 / $40,016.00 / $40,016.00	Facility		$18,729.37	$40,016.00	$40,016.00
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $5,369.79 / $5,369.79 / $5,369.79	Facility	52	$5,369.79	$5,369.79	$5,369.79
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $671.22 / $671.22 / $671.22	Facility	AS	$671.22	$671.22	$671.22
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