Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.37 / $1,533.44 / $14,482.00	Facility		$730.37	$1,533.44	$14,482.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $547.78 / $547.78 / $2,049.71	Facility	54	$547.78	$547.78	$2,049.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
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 $1,932.00 / $2,257.69 / $3,463.36	Facility		$1,932.00	$2,257.69	$3,463.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $730.37 / $956.41 / $1,614.12	Facility		$730.37	$956.41	$1,614.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $730.37 / $1,465.29 / $5,261.00	Facility		$730.37	$1,465.29	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $730.37 / $932.80 / $1,614.12	Facility		$730.37	$932.80	$1,614.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,496.95 / $1,823.98 / $2,722.84	Professional		$1,496.95	$1,823.98	$2,722.84
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 $2,723.00 / $4,092.17 / $5,865.00	Facility		$2,723.00	$4,092.17	$5,865.00