Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.27 / $406.37 / $14,482.00	Facility		$240.27	$406.37	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $120.14 / $203.19 / $362.12	Facility	52	$120.14	$203.19	$362.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,783.00 / $18,458.00	Facility		$7,084.00	$11,783.00	$18,458.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.43 / $591.79 / $954.56	Facility		$506.43	$591.79	$954.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $198.67 / $280.99 / $388.31	Facility		$198.67	$280.99	$388.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.12 / $2,553.00 / $7,700.00	Facility		$230.12	$2,553.00	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $198.67 / $280.99 / $388.31	Facility		$198.67	$280.99	$388.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $410.15 / $633.33 / $813.45	Professional		$410.15	$633.33	$813.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $955.23 / $955.23 / $955.23	Facility		$955.23	$955.23	$955.23
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $764.18 / $764.18 / $764.18	Facility	52	$764.18	$764.18	$764.18
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $597.02 / $597.02 / $597.02	Facility	62	$597.02	$597.02	$597.02
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $95.52 / $95.52 / $95.52	Facility	AS	$95.52	$95.52	$95.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00