Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.20 / $1,340.93 / $5,924.66	Facility		$114.20	$1,340.93	$5,924.66
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $57.10 / $172.49 / $1,874.34	Facility	52	$57.10	$172.49	$1,874.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,919.63 / $3,411.82 / $5,503.14	Facility		$2,919.63	$3,411.82	$5,503.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.65 / $197.90 / $1,824.33	Facility		$105.65	$197.90	$1,824.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.13 / $1,209.00 / $2,090.40	Facility		$104.13	$1,209.00	$2,090.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.65 / $197.90 / $1,824.33	Facility		$105.65	$197.90	$1,824.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $217.14 / $1,087.73 / $3,575.28	Professional		$217.14	$1,087.73	$3,575.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.91 / $426.91 / $426.91	Facility		$426.91	$426.91	$426.91
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $341.53 / $341.53 / $341.53	Facility	52	$341.53	$341.53	$341.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90