Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.22 / $1,965.05 / $27,427.74	Facility		$235.22	$1,965.05	$27,427.74
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $117.61 / $218.57 / $389.53	Facility	52	$117.61	$218.57	$389.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,695.00 / $15,579.70	Facility		$6,538.00	$9,695.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.58 / $643.40 / $986.99	Facility		$550.58	$643.40	$986.99
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $191.49 / $191.49 / $191.49	Facility	52	$191.49	$191.49	$191.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $210.28 / $250.22 / $426.02	Facility		$210.28	$250.22	$426.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.50 / $299.81 / $10,843.00	Facility		$204.50	$299.81	$10,843.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $18,115.80 / $18,115.80 / $18,115.80	Facility	52	$18,115.80	$18,115.80	$18,115.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $204.50 / $262.27 / $434.24	Facility		$204.50	$262.27	$434.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $386.40 / $515.33 / $886.84	Professional		$386.40	$515.33	$886.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $244.91 / $23,890.45 / $23,890.45	Facility		$244.91	$23,890.45	$23,890.45
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $191.49 / $18,115.80 / $18,115.80	Facility	52	$191.49	$18,115.80	$18,115.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,953.00 / $12,062.00	Facility		$4,240.00	$9,953.00	$12,062.00