Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.82 / $10,627.15 / $25,869.06	Facility		$1,164.82	$10,627.15	$25,869.06
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $311.83 / $675.91 / $1,204.63	Facility	52	$311.83	$675.91	$1,204.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $626.80 / $947.88 / $947.88	Facility		$626.80	$947.88	$947.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,697.71 / $1,983.91 / $3,199.97	Facility		$1,697.71	$1,983.91	$3,199.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $623.65 / $908.40 / $3,086.89	Facility		$623.65	$908.40	$3,086.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.89 / $6,154.00 / $17,327.00	Facility		$660.89	$6,154.00	$17,327.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $623.65 / $908.40 / $3,086.89	Facility		$623.65	$908.40	$3,086.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,292.84 / $1,996.36 / $2,871.32	Professional		$1,292.84	$1,996.36	$2,871.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,770.10 / $27,770.10 / $27,770.10	Facility		$27,770.10	$27,770.10	$27,770.10
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $21,057.68 / $21,057.68 / $21,057.68	Facility	52	$21,057.68	$21,057.68	$21,057.68
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,632.21 / $2,632.21 / $2,632.21	Facility	AS	$2,632.21	$2,632.21	$2,632.21
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00