Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.22 / $3,029.18 / $14,482.00	Facility		$1,629.22	$3,029.18	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $814.61 / $1,514.59 / $2,699.33	Facility	52	$814.61	$1,514.59	$2,699.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,003.00 / $19,370.00	Facility		$7,084.00	$12,003.00	$19,370.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,796.42 / $4,436.42 / $6,805.57	Facility		$3,796.42	$4,436.42	$6,805.57
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,366.02 / $1,366.02 / $1,366.02	Facility	52	$1,366.02	$1,366.02	$1,366.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $170.75 / $170.75	Facility	AS	$170.75	$170.75	$170.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,480.93 / $1,884.82 / $3,257.19	Facility		$1,480.93	$1,884.82	$3,257.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,477.36 / $2,070.71 / $12,202.00	Facility		$1,477.36	$2,070.71	$12,202.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $5,570.85 / $5,570.85 / $5,570.85	Facility	52	$5,570.85	$5,570.85	$5,570.85
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $696.36 / $696.36 / $696.36	Facility	AS	$696.36	$696.36	$696.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,477.72 / $1,884.82 / $3,171.08	Facility		$1,477.72	$1,884.82	$3,171.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,760.00 / $3,680.92 / $6,129.56	Professional		$2,760.00	$3,680.92	$6,129.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,742.51 / $14,134.40 / $14,134.40	Facility		$1,742.51	$14,134.40	$14,134.40
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,366.02 / $5,570.85 / $5,570.85	Facility	52	$1,366.02	$5,570.85	$5,570.85
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $170.75 / $696.36 / $696.36	Facility	AS	$170.75	$696.36	$696.36
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00