Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $39.11 / $14,482.00	Facility		$21.23	$39.11	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $10.62 / $19.55 / $34.85	Facility	52	$10.62	$19.55	$34.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $85.61	Facility		$47.76	$55.81	$85.61
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.70 / $16.70 / $16.70	Facility	52	$16.70	$16.70	$16.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $26.96 / $60.66	Facility		$18.67	$26.96	$60.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $31.20 / $4,292.39	Facility		$18.67	$31.20	$4,292.39
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,165.08 / $2,165.08 / $2,165.08	Facility	52	$2,165.08	$2,165.08	$2,165.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $26.84 / $60.66	Facility		$18.67	$26.84	$60.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $45.61 / $78.14	Professional		$34.20	$45.61	$78.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $2,855.25 / $2,855.25	Facility		$21.59	$2,855.25	$2,855.25
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $16.70 / $2,165.08 / $2,165.08	Facility	52	$16.70	$2,165.08	$2,165.08
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