Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,917.61 / $3,557.79 / $14,482.00	Facility		$1,917.61	$3,557.79	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $958.81 / $1,778.90 / $3,170.39	Facility	52	$958.81	$1,778.90	$3,170.39
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 $4,473.16 / $5,227.24 / $8,018.72	Facility		$4,473.16	$5,227.24	$8,018.72
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,615.65 / $1,615.65 / $1,615.65	Facility	52	$1,615.65	$1,615.65	$1,615.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $201.96 / $201.96 / $201.96	Facility	AS	$201.96	$201.96	$201.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,657.36 / $2,119.50 / $3,756.37	Facility		$1,657.36	$2,119.50	$3,756.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,657.36 / $2,376.00 / $5,216.06	Facility		$1,657.36	$2,376.00	$5,216.06
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,572.37 / $6,572.37 / $6,572.37	Facility	52	$6,572.37	$6,572.37	$6,572.37
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $821.55 / $821.55 / $821.55	Facility	AS	$821.55	$821.55	$821.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,630.11 / $2,119.50 / $3,756.37	Facility		$1,630.11	$2,119.50	$3,756.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,256.20 / $4,342.68 / $7,212.20	Professional		$3,256.20	$4,342.68	$7,212.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,054.82 / $16,686.80 / $16,686.80	Facility		$2,054.82	$16,686.80	$16,686.80
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,615.65 / $6,572.37 / $6,572.37	Facility	52	$1,615.65	$6,572.37	$6,572.37
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $201.96 / $821.55 / $821.55	Facility	AS	$201.96	$821.55	$821.55
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