Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.32 / $646.88 / $14,482.00	Facility		$168.32	$646.88	$14,482.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $62.65 / $129.38 / $323.44	Facility	53	$62.65	$129.38	$323.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.55 / $984.58 / $1,510.38	Facility		$842.55	$984.58	$1,510.38
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $160.93 / $318.67 / $625.69	Facility		$160.93	$318.67	$625.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.76 / $328.31 / $2,586.00	Facility		$163.76	$328.31	$2,586.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $140.78 / $140.78 / $140.78	Facility	53	$140.78	$140.78	$140.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $318.67 / $618.13	Facility		$161.63	$318.67	$618.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $345.47 / $634.26 / $1,072.01	Professional		$345.47	$634.26	$1,072.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.52 / $899.00 / $2,776.25	Facility		$263.52	$899.00	$2,776.25
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $140.78 / $140.78	Facility	53	$52.70	$140.78	$140.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00