Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.69 / $6,325.32 / $13,393.19	Facility		$532.69	$6,325.32	$13,393.19
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $142.32 / $266.33 / $474.68	Facility	52	$142.32	$266.33	$474.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.54 / $792.93 / $1,216.38	Facility		$678.54	$792.93	$1,216.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $232.05 / $232.05 / $232.05	Facility	52	$232.05	$232.05	$232.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $249.50 / $340.54 / $710.25	Facility		$249.50	$340.54	$710.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.31 / $392.22 / $7,318.00	Facility		$245.31	$392.22	$7,318.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $5,997.52 / $5,997.52 / $5,997.52	Facility	52	$5,997.52	$5,997.52	$5,997.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $249.50 / $340.54 / $710.25	Facility		$249.50	$340.54	$710.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $469.20 / $625.76 / $1,078.50	Professional		$469.20	$625.76	$1,078.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $290.89 / $7,909.30 / $7,909.30	Facility		$290.89	$7,909.30	$7,909.30
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $232.05 / $5,997.52 / $5,997.52	Facility	52	$232.05	$5,997.52	$5,997.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00