Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,131.92 / $3,454.00 / $44,908.42	Facility		$2,131.92	$3,454.00	$44,908.42
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $426.38 / $690.80 / $1,231.16	Facility	53	$426.38	$690.80	$1,231.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $6,654.00 / $10,382.04	Facility		$1,944.00	$6,654.00	$10,382.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,323.57 / $5,052.43 / $8,149.40	Facility		$4,323.57	$5,052.43	$8,149.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,688.62 / $2,375.58 / $3,347.89	Facility		$1,688.62	$2,375.58	$3,347.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,842.13 / $3,347.89 / $7,868.00	Facility		$1,842.13	$3,347.89	$7,868.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,688.62 / $2,375.58 / $3,347.89	Facility		$1,688.62	$2,375.58	$3,347.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,440.45 / $5,312.58 / $7,007.95	Professional		$3,440.45	$5,312.58	$7,007.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,515.84 / $32,515.84 / $32,515.84	Facility		$32,515.84	$32,515.84	$32,515.84
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $1,602.53 / $1,602.53 / $1,602.53	Facility	53	$1,602.53	$1,602.53	$1,602.53
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $5,007.89 / $5,007.89 / $5,007.89	Facility	62	$5,007.89	$5,007.89	$5,007.89
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