Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.14 / $1,390.84 / $14,482.00	Facility		$662.14	$1,390.84	$14,482.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $496.61 / $496.61 / $1,859.09	Facility	54	$496.61	$496.61	$1,859.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$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 $1,763.49 / $2,060.78 / $3,161.29	Facility		$1,763.49	$2,060.78	$3,161.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $662.14 / $882.00 / $1,463.33	Facility		$662.14	$882.00	$1,463.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $662.14 / $1,076.46 / $1,789.00	Facility		$662.14	$1,076.46	$1,789.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $662.14 / $859.60 / $1,463.33	Facility		$662.14	$859.60	$1,463.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,355.25 / $1,651.32 / $2,465.10	Professional		$1,355.25	$1,651.32	$2,465.10
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 $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90