Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.52 / $3,886.79 / $15,106.00	Facility		$252.52	$3,886.79	$15,106.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $126.26 / $234.72 / $418.32	Facility	52	$126.26	$234.72	$418.32
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 $591.13 / $690.79 / $1,059.69	Facility		$591.13	$690.79	$1,059.69
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $226.13 / $298.57 / $521.60	Facility		$226.13	$298.57	$521.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.88 / $353.53 / $4,821.00	Facility		$223.88	$353.53	$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 $226.13 / $295.45 / $521.24	Facility		$226.13	$295.45	$521.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $412.80 / $550.54 / $951.63	Professional		$412.80	$550.54	$951.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $260.75 / $4,901.45 / $4,901.45	Facility		$260.75	$4,901.45	$4,901.45
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $204.01 / $3,716.72 / $3,716.72	Facility	52	$204.01	$3,716.72	$3,716.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00