Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.91 / $4,424.10 / $14,482.00	Facility		$450.91	$4,424.10	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.80 / $6,461.00 / $21,995.00	Facility	50	$0.80	$6,461.00	$21,995.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $11,777.00 / $19,639.00	Facility		$5,479.00	$11,777.00	$19,639.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $961.50 / $1,123.58 / $1,812.30	Facility		$961.50	$1,123.58	$1,812.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $407.21 / $552.05 / $2,542.14	Facility		$407.21	$552.05	$2,542.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $415.28 / $2,542.14 / $12,631.00	Facility		$415.28	$2,542.14	$12,631.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.64 / $1,469.86 / $2,924.68	Facility	50	$0.64	$1,469.86	$2,924.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $407.21 / $552.05 / $2,542.14	Facility		$407.21	$552.05	$2,542.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $734.50 / $1,134.18 / $1,474.38	Professional		$734.50	$1,134.18	$1,474.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,759.35 / $13,759.35 / $13,759.35	Facility		$13,759.35	$13,759.35	$13,759.35
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00