Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,864.51 / $3,463.92 / $14,482.00	Facility		$1,864.51	$3,463.92	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $932.26 / $1,731.96 / $3,086.74	Facility	52	$932.26	$1,731.96	$3,086.74
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 $4,343.39 / $5,075.60 / $7,786.11	Facility		$4,343.39	$5,075.60	$7,786.11
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,570.62 / $1,570.62 / $1,570.62	Facility	52	$1,570.62	$1,570.62	$1,570.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,647.98 / $2,002.57 / $3,716.94	Facility		$1,647.98	$2,002.57	$3,716.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,614.84 / $2,240.00 / $5,064.89	Facility		$1,614.84	$2,240.00	$5,064.89
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,402.84 / $6,402.84 / $6,402.84	Facility	52	$6,402.84	$6,402.84	$6,402.84
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $800.36 / $800.36 / $800.36	Facility	AS	$800.36	$800.36	$800.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,584.83 / $1,974.00 / $3,652.47	Facility		$1,584.83	$1,974.00	$3,652.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,172.20 / $4,230.66 / $7,012.04	Professional		$3,172.20	$4,230.66	$7,012.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,001.71 / $16,222.96 / $16,222.96	Facility		$2,001.71	$16,222.96	$16,222.96
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,570.62 / $6,402.84 / $6,402.84	Facility	52	$1,570.62	$6,402.84	$6,402.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $800.36 / $800.36	Facility	AS	$196.33	$800.36	$800.36
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