Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,418.27 / $2,643.07 / $14,482.00	Facility		$1,418.27	$2,643.07	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $709.14 / $1,321.54 / $2,355.28	Facility	52	$709.14	$1,321.54	$2,355.28
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 $3,311.62 / $3,869.89 / $5,936.50	Facility		$3,311.62	$3,869.89	$5,936.50
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,285.84 / $1,730.21 / $2,894.30	Facility		$1,285.84	$1,730.21	$2,894.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,285.84 / $1,883.01 / $4,821.00	Facility		$1,285.84	$1,883.01	$4,821.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $4,890.22 / $4,890.22 / $4,890.22	Facility	52	$4,890.22	$4,890.22	$4,890.22
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $611.28 / $611.28 / $611.28	Facility	AS	$611.28	$611.28	$611.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,285.84 / $1,667.24 / $2,832.30	Facility		$1,285.84	$1,667.24	$2,832.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,422.80 / $3,231.21 / $5,343.69	Professional		$2,422.80	$3,231.21	$5,343.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,526.26 / $12,372.96 / $12,372.96	Facility		$1,526.26	$12,372.96	$12,372.96
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,198.39 / $4,890.22 / $4,890.22	Facility	52	$1,198.39	$4,890.22	$4,890.22
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $611.28 / $611.28	Facility	AS	$149.80	$611.28	$611.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00