Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.75 / $2,484.61 / $16,644.09	Facility		$1,179.75	$2,484.61	$16,644.09
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $884.81 / $884.81 / $3,321.09	Facility	54	$884.81	$884.81	$3,321.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $7,467.00 / $15,287.53	Facility		$1,979.00	$7,467.00	$15,287.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,130.49 / $3,658.23 / $5,611.81	Facility		$3,130.49	$3,658.23	$5,611.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,179.75 / $1,711.99 / $2,760.68	Facility		$1,179.75	$1,711.99	$2,760.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,179.75 / $2,439.17 / $13,120.00	Facility		$1,179.75	$2,439.17	$13,120.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,179.75 / $1,711.99 / $2,760.68	Facility		$1,179.75	$1,711.99	$2,760.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,421.25 / $2,950.20 / $4,404.07	Professional		$2,421.25	$2,950.20	$4,404.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,021.06 / $10,021.06 / $10,021.06	Facility		$10,021.06	$10,021.06	$10,021.06
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $3,947.29 / $3,947.29 / $3,947.29	Facility	54	$3,947.29	$3,947.29	$3,947.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $563.90 / $563.90 / $563.90	Facility	AS	$563.90	$563.90	$563.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00