Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.10 / $860.11 / $14,482.00	Facility		$516.10	$860.11	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,558.68 / $6,461.00 / $23,330.98	Facility	50	$1,558.68	$6,461.00	$23,330.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $233.45 / $3,553.00 / $3,553.00	Professional	50	$233.45	$3,553.00	$3,553.00
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
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $562.35 / $1,704.62 / $3,747.25	Professional	50	$562.35	$1,704.62	$3,747.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,124.59 / $1,314.18 / $2,119.73	Facility		$1,124.59	$1,314.18	$2,119.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $420.50 / $524.86 / $947.60	Facility		$420.50	$524.86	$947.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $420.50 / $3,193.00 / $8,384.00	Facility		$420.50	$3,193.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $382.27 / $524.86 / $947.60	Facility		$382.27	$524.86	$947.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $813.80 / $1,252.00 / $1,480.24	Professional		$813.80	$1,252.00	$1,480.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $7,909.30 / $7,909.30	Facility		$7,909.30	$7,909.30	$7,909.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00