Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.87 / $3,061.51 / $14,482.00	Facility		$1,455.87	$3,061.51	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $727.94 / $727.94 / $2,728.15	Facility	52	$727.94	$727.94	$2,728.15
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 $3,847.78 / $4,496.43 / $7,252.60	Facility		$3,847.78	$4,496.43	$7,252.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,455.87 / $2,183.81 / $3,471.27	Facility		$1,455.87	$2,183.81	$3,471.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,455.87 / $3,086.44 / $19,754.00	Facility		$1,455.87	$3,086.44	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,455.87 / $2,183.81 / $3,471.27	Facility		$1,455.87	$2,183.81	$3,471.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,993.25 / $3,647.16 / $5,444.49	Professional		$2,993.25	$3,647.16	$5,444.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,447.78 / $40,016.00 / $40,016.00	Facility		$19,447.78	$40,016.00	$40,016.00
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $5,576.91 / $5,576.91 / $5,576.91	Facility	52	$5,576.91	$5,576.91	$5,576.91
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $697.11 / $697.11 / $697.11	Facility	AS	$697.11	$697.11	$697.11
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