Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.26 / $3,010.91 / $14,482.00	Facility		$906.26	$3,010.91	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $453.13 / $844.71 / $1,505.46	Facility	52	$453.13	$844.71	$1,505.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,127.54 / $2,486.19 / $3,813.90	Facility		$2,127.54	$2,486.19	$3,813.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $816.36 / $1,060.32 / $2,058.00	Facility		$816.36	$1,060.32	$2,058.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $815.78 / $1,164.94 / $4,821.00	Facility		$815.78	$1,164.94	$4,821.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,102.73 / $3,102.73 / $3,102.73	Facility	52	$3,102.73	$3,102.73	$3,102.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $816.36 / $1,060.32 / $2,058.00	Facility		$816.36	$1,060.32	$2,058.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,537.20 / $2,050.11 / $3,425.74	Professional		$1,537.20	$2,050.11	$3,425.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $967.73 / $7,885.44 / $7,885.44	Facility		$967.73	$7,885.44	$7,885.44
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $3,102.73 / $3,102.73	Facility	52	$761.45	$3,102.73	$3,102.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00