Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,969.66 / $3,017.12 / $14,482.00	Facility		$1,969.66	$3,017.12	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $984.83 / $1,828.21 / $3,258.27	Facility	52	$984.83	$1,828.21	$3,258.27
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 $4,598.42 / $5,373.61 / $8,243.26	Facility		$4,598.42	$5,373.61	$8,243.26
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,648.76 / $1,648.76 / $1,648.76	Facility	52	$1,648.76	$1,648.76	$1,648.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $206.10 / $206.10 / $206.10	Facility	AS	$206.10	$206.10	$206.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,781.90 / $2,235.87 / $3,935.27	Facility		$1,781.90	$2,235.87	$3,935.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,742.31 / $2,475.02 / $5,335.39	Facility		$1,742.31	$2,475.02	$5,335.39
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,724.98 / $6,724.98 / $6,724.98	Facility	52	$6,724.98	$6,724.98	$6,724.98
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $840.62 / $840.62 / $840.62	Facility	AS	$840.62	$840.62	$840.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,781.90 / $2,235.87 / $3,829.82	Facility		$1,781.90	$2,235.87	$3,829.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,331.80 / $4,443.51 / $7,404.67	Professional		$3,331.80	$4,443.51	$7,404.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,094.52 / $17,063.68 / $17,063.68	Facility		$2,094.52	$17,063.68	$17,063.68
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,648.76 / $6,724.98 / $6,724.98	Facility	52	$1,648.76	$6,724.98	$6,724.98
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $206.10 / $840.62 / $840.62	Facility	AS	$206.10	$840.62	$840.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00