Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.21 / $3,987.84 / $7,109.70	Facility		$395.21	$3,987.84	$7,109.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $106.50 / $197.61 / $352.18	Facility	52	$106.50	$197.61	$352.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.22 / $583.38 / $894.92	Facility		$499.22	$583.38	$894.92
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $172.10 / $172.10	Facility	52	$172.10	$172.10	$172.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.62 / $250.60 / $445.88	Facility		$190.62	$250.60	$445.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $296.31 / $4,821.00	Facility		$188.90	$296.31	$4,821.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,716.72 / $3,716.72 / $3,716.72	Facility	52	$3,716.72	$3,716.72	$3,716.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $190.62 / $249.20 / $445.88	Facility		$190.62	$249.20	$445.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.80 / $462.52 / $802.96	Professional		$346.80	$462.52	$802.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $219.76 / $4,901.45 / $4,901.45	Facility		$219.76	$4,901.45	$4,901.45
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $3,716.72 / $3,716.72	Facility	52	$172.10	$3,716.72	$3,716.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00