Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.39 / $465.91 / $14,482.00	Facility		$251.39	$465.91	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $125.70 / $232.95 / $415.18	Facility	52	$125.70	$232.95	$415.18
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 $580.32 / $678.15 / $1,040.30	Facility		$580.32	$678.15	$1,040.30
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $213.26 / $213.26 / $213.26	Facility	52	$213.26	$213.26	$213.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $26.66 / $26.66 / $26.66	Facility	AS	$26.66	$26.66	$26.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $229.20 / $318.47 / $772.75	Facility		$229.20	$318.47	$772.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.78 / $360.98 / $4,602.00	Facility		$227.78	$360.98	$4,602.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $868.31 / $868.31 / $868.31	Facility	52	$868.31	$868.31	$868.31
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $108.54 / $108.54 / $108.54	Facility	AS	$108.54	$108.54	$108.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $227.78 / $318.47 / $772.75	Facility		$227.78	$318.47	$772.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $430.20 / $573.74 / $942.64	Professional		$430.20	$573.74	$942.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $273.83 / $1,300.00 / $1,300.00	Facility		$273.83	$1,300.00	$1,300.00
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $213.26 / $868.31 / $868.31	Facility	52	$213.26	$868.31	$868.31
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $26.66 / $108.54 / $108.54	Facility	AS	$26.66	$108.54	$108.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00