Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.29 / $983.79 / $14,482.00	Facility		$614.29	$983.79	$14,482.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $122.86 / $196.76 / $350.67	Facility	53	$122.86	$196.76	$350.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.93 / $1,438.44 / $2,320.15	Facility		$1,230.93	$1,438.44	$2,320.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $480.96 / $735.00 / $990.67	Facility		$480.96	$735.00	$990.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.53 / $11,645.00 / $28,884.00	Facility		$549.53	$11,645.00	$28,884.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $480.96 / $735.00 / $990.67	Facility		$480.96	$735.00	$990.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.60 / $1,509.56 / $1,992.49	Professional		$977.60	$1,509.56	$1,992.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43,315.00 / $43,315.00 / $43,315.00	Facility		$43,315.00	$43,315.00	$43,315.00
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $8,211.29 / $8,211.29 / $8,211.29	Facility	53	$8,211.29	$8,211.29	$8,211.29
United Facility/Professional Facility Modifier Low / Median / High Price $9,662.00 / $20,245.00 / $33,255.00	Facility		$9,662.00	$20,245.00	$33,255.00