Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.23 / $3,239.42 / $14,482.00	Facility		$1,747.23	$3,239.42	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $873.62 / $1,619.71 / $2,886.68	Facility	52	$873.62	$1,619.71	$2,886.68
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 $4,067.66 / $4,753.38 / $7,291.80	Facility		$4,067.66	$4,753.38	$7,291.80
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,471.60 / $1,471.60 / $1,471.60	Facility	52	$1,471.60	$1,471.60	$1,471.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.95 / $183.95 / $183.95	Facility	AS	$183.95	$183.95	$183.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,583.71 / $1,995.00 / $3,519.16	Facility		$1,583.71	$1,995.00	$3,519.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,583.71 / $2,197.42 / $4,821.00	Facility		$1,583.71	$2,197.42	$4,821.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $5,994.70 / $5,994.70 / $5,994.70	Facility	52	$5,994.70	$5,994.70	$5,994.70
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $749.34 / $749.34 / $749.34	Facility	AS	$749.34	$749.34	$749.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,583.71 / $1,990.62 / $3,431.41	Facility		$1,583.71	$1,990.62	$3,431.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,970.00 / $3,960.99 / $6,564.06	Professional		$2,970.00	$3,960.99	$6,564.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,874.42 / $15,195.36 / $15,195.36	Facility		$1,874.42	$15,195.36	$15,195.36
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,471.60 / $5,994.70 / $5,994.70	Facility	52	$1,471.60	$5,994.70	$5,994.70
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $183.95 / $749.34 / $749.34	Facility	AS	$183.95	$749.34	$749.34
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