Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.83 / $6,461.00 / $17,792.04	Facility		$279.83	$6,461.00	$17,792.04
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $16,375.65 / $16,375.65 / $16,375.65	Facility	50	$16,375.65	$16,375.65	$16,375.65
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 $596.54 / $697.11 / $1,124.41	Facility		$596.54	$697.11	$1,124.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $252.66 / $342.36 / $1,760.25	Facility		$252.66	$342.36	$1,760.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.57 / $4,017.00 / $13,918.00	Facility		$257.57	$4,017.00	$13,918.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $252.66 / $342.36 / $1,760.25	Facility		$252.66	$342.36	$1,760.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $455.65 / $703.59 / $913.08	Professional		$455.65	$703.59	$913.08
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 $4,240.00 / $10,264.00 / $12,705.00	Facility		$4,240.00	$10,264.00	$12,705.00