Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.06 / $512.16 / $14,482.00	Facility		$154.06	$512.16	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $77.03 / $143.69 / $256.08	Facility	52	$77.03	$143.69	$256.08
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 $361.35 / $422.27 / $647.77	Facility		$361.35	$422.27	$647.77
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.94 / $195.99 / $544.50	Facility		$138.94	$195.99	$544.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $137.01 / $215.68 / $4,377.80	Facility		$137.01	$215.68	$4,377.80
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 $138.08 / $195.99 / $580.79	Facility		$138.08	$195.99	$580.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $253.80 / $338.48 / $582.05	Professional		$253.80	$338.48	$582.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $160.19 / $4,901.45 / $4,901.45	Facility		$160.19	$4,901.45	$4,901.45
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $125.57 / $3,716.72 / $3,716.72	Facility	52	$125.57	$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