Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,676.76 / $6,281.99 / $14,482.00	Facility		$1,676.76	$6,281.99	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $838.38 / $838.38 / $3,141.00	Facility	52	$838.38	$838.38	$3,141.00
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 $4,433.51 / $5,180.91 / $7,947.65	Facility		$4,433.51	$5,180.91	$7,947.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,676.76 / $2,512.66 / $4,359.58	Facility		$1,676.76	$2,512.66	$4,359.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,676.76 / $3,554.73 / $16,976.00	Facility		$1,676.76	$3,554.73	$16,976.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,676.76 / $2,512.66 / $4,359.58	Facility		$1,676.76	$2,512.66	$4,359.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,445.00 / $4,197.60 / $6,266.19	Professional		$3,445.00	$4,197.60	$6,266.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,290.64 / $16,290.64 / $16,290.64	Facility		$16,290.64	$16,290.64	$16,290.64
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $6,418.56 / $6,418.56 / $6,418.56	Facility	52	$6,418.56	$6,418.56	$6,418.56
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $802.32 / $802.32 / $802.32	Facility	AS	$802.32	$802.32	$802.32
United Facility/Professional Facility Modifier Low / Median / High Price $9,734.00 / $17,119.00 / $22,229.00	Facility		$9,734.00	$17,119.00	$22,229.00