Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.01 / $1,024.04 / $14,482.00	Facility		$483.01	$1,024.04	$14,482.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $362.26 / $362.26 / $1,368.80	Facility	54	$362.26	$362.26	$1,368.80
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 $1,300.32 / $1,519.52 / $2,330.98	Facility		$1,300.32	$1,519.52	$2,330.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $455.13 / $582.57 / $1,137.83	Facility		$455.13	$582.57	$1,137.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.13 / $976.99 / $5,261.00	Facility		$455.13	$976.99	$5,261.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $455.13 / $582.57 / $1,137.83	Facility		$455.13	$582.57	$1,137.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $989.95 / $1,206.22 / $1,800.64	Professional		$989.95	$1,206.22	$1,800.64
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 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00