Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $81.28 / $3,090.30	Facility		$42.66	$81.28	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $117.49 / $186.21	Facility		$100.00	$117.49	$186.21
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $54.95 / $54.95 / $54.95	Facility	52	$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $13.80 / $13.80 / $13.80	Facility	53	$13.80	$13.80	$13.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $53.70 / $3,311.31	Facility		$38.02	$53.70	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $56.23 / $1,445.44	Facility		$39.81	$56.23	$1,445.44
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	52	$912.01	$912.01	$912.01
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	53	$229.09	$229.09	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $125.89	Professional		$44.67	$81.28	$125.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,288.25	Facility		$812.83	$1,288.25	$1,288.25
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $645.65 / $645.65 / $954.99	Facility	52	$645.65	$645.65	$954.99
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $162.18 / $162.18 / $239.88	Facility	53	$162.18	$162.18	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84