Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.52 / $944.20 / $14,482.00	Facility		$285.52	$944.20	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $142.77 / $264.89 / $472.10	Facility	52	$142.77	$264.89	$472.10
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 $667.73 / $780.30 / $1,196.99	Facility		$667.73	$780.30	$1,196.99
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $230.55 / $230.55 / $230.55	Facility	52	$230.55	$230.55	$230.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $301.75 / $516.71	Facility		$246.02	$301.75	$516.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.02 / $363.59 / $4,821.00	Facility		$246.02	$363.59	$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 $246.02 / $308.56 / $516.71	Facility		$246.02	$308.56	$516.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $465.60 / $620.96 / $1,074.94	Professional		$465.60	$620.96	$1,074.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $294.83 / $4,901.45 / $4,901.45	Facility		$294.83	$4,901.45	$4,901.45
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $230.55 / $3,716.72 / $3,716.72	Facility	52	$230.55	$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