Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.46 / $1,519.09 / $14,482.00	Facility		$728.46	$1,519.09	$14,482.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $546.35 / $546.35 / $2,030.51	Facility	54	$546.35	$546.35	$2,030.51
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 $1,924.79 / $2,249.27 / $3,450.44	Facility		$1,924.79	$2,249.27	$3,450.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $675.15 / $902.70 / $1,687.88	Facility		$675.15	$902.70	$1,687.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $700.55 / $1,491.71 / $4,092.17	Facility		$700.55	$1,491.71	$4,092.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $675.15 / $902.70 / $1,687.88	Facility		$675.15	$902.70	$1,687.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,480.70 / $1,804.18 / $2,693.28	Professional		$1,480.70	$1,804.18	$2,693.28
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 $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00