Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.98 / $3,256.81 / $14,482.00	Facility		$1,750.98	$3,256.81	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $875.49 / $1,628.41 / $2,902.18	Facility	52	$875.49	$1,628.41	$2,902.18
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 $4,081.17 / $4,769.17 / $7,316.03	Facility		$4,081.17	$4,769.17	$7,316.03
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,468.02 / $1,468.02 / $1,468.02	Facility	52	$1,468.02	$1,468.02	$1,468.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.50 / $183.50 / $183.50	Facility	AS	$183.50	$183.50	$183.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,591.07 / $2,047.72 / $3,540.11	Facility		$1,591.07	$2,047.72	$3,540.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,587.70 / $2,210.87 / $4,973.16	Facility		$1,587.70	$2,210.87	$4,973.16
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $5,982.62 / $5,982.62 / $5,982.62	Facility	52	$5,982.62	$5,982.62	$5,982.62
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $747.83 / $747.83 / $747.83	Facility	AS	$747.83	$747.83	$747.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,591.07 / $2,047.72 / $3,508.34	Facility		$1,591.07	$2,047.72	$3,508.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,964.00 / $3,952.99 / $6,591.03	Professional		$2,964.00	$3,952.99	$6,591.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,873.50 / $15,192.88 / $15,192.88	Facility		$1,873.50	$15,192.88	$15,192.88
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,468.02 / $5,982.62 / $5,982.62	Facility	52	$1,468.02	$5,982.62	$5,982.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $183.50 / $747.83 / $747.83	Facility	AS	$183.50	$747.83	$747.83
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