Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.47 / $5,056.64 / $14,482.00	Facility		$1,347.47	$5,056.64	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $673.74 / $673.74 / $2,528.33	Facility	52	$673.74	$673.74	$2,528.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $37,855.00	Facility		$11,499.00	$16,401.00	$37,855.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,571.14 / $4,173.16 / $6,401.73	Facility		$3,571.14	$4,173.16	$6,401.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,347.47 / $1,956.64 / $3,152.53	Facility		$1,347.47	$1,956.64	$3,152.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,347.47 / $2,783.15 / $19,754.00	Facility		$1,347.47	$2,783.15	$19,754.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,347.47 / $1,956.64 / $3,152.53	Facility		$1,347.47	$1,956.64	$3,152.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,769.00 / $3,373.92 / $5,036.60	Professional		$2,769.00	$3,373.92	$5,036.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,086.80 / $13,086.80 / $13,086.80	Facility		$13,086.80	$13,086.80	$13,086.80
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $5,159.08 / $5,159.08 / $5,159.08	Facility	52	$5,159.08	$5,159.08	$5,159.08
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $644.89 / $644.89 / $644.89	Facility	AS	$644.89	$644.89	$644.89
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $27,414.00	Facility		$8,650.00	$14,566.00	$27,414.00