Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $655.81 / $6,461.00	Facility		$345.03	$655.81	$6,461.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $258.77 / $491.86 / $1,325.35	Facility	54	$258.77	$491.86	$1,325.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,289.50 / $1,506.89 / $2,311.60	Facility		$1,289.50	$1,506.89	$2,311.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $337.72 / $572.88 / $1,307.01	Facility		$337.72	$572.88	$1,307.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $349.76 / $839.58 / $1,590.00	Facility		$349.76	$839.58	$1,590.00
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $1,031.06 / $1,031.06 / $1,031.06	Facility	54	$1,031.06	$1,031.06	$1,031.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $337.72 / $572.88 / $1,307.01	Facility		$337.72	$572.88	$1,307.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $697.73 / $1,093.84 / $1,635.71	Professional		$697.73	$1,093.84	$1,635.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $821.95 / $2,244.48	Facility		$615.00	$821.95	$2,244.48
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $430.50 / $575.37 / $1,031.06	Facility	54	$430.50	$575.37	$1,031.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90