Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.71 / $1,928.56 / $6,202.59	Facility		$377.71	$1,928.56	$6,202.59
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $111.12 / $278.01 / $821.33	Facility	52	$111.12	$278.01	$821.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.41 / $1,422.64 / $2,294.67	Facility		$1,217.41	$1,422.64	$2,294.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $201.44 / $430.50 / $880.73	Facility		$201.44	$430.50	$880.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.73 / $664.27 / $11,100.00	Facility		$202.73	$664.27	$11,100.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $201.44 / $430.50 / $880.73	Facility		$201.44	$430.50	$880.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $419.05 / $765.93 / $1,572.46	Professional		$419.05	$765.93	$1,572.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,500.80 / $1,500.80 / $1,500.80	Facility		$1,500.80	$1,500.80	$1,500.80
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $664.86 / $664.86 / $664.86	Facility	52	$664.86	$664.86	$664.86
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