Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.52 / $1,038.15 / $14,482.00	Facility		$314.52	$1,038.15	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.27 / $291.25 / $519.08	Facility	52	$157.27	$291.25	$519.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $8,436.00 / $15,579.70	Facility		$1,979.00	$8,436.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $735.31 / $859.27 / $1,318.15	Facility		$735.31	$859.27	$1,318.15
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $254.41 / $254.41 / $254.41	Facility	52	$254.41	$254.41	$254.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.04 / $340.80 / $577.26	Facility		$281.04	$340.80	$577.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $272.44 / $399.46 / $4,821.00	Facility		$272.44	$399.46	$4,821.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $18,071.64 / $18,071.64 / $18,071.64	Facility	52	$18,071.64	$18,071.64	$18,071.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $272.44 / $345.19 / $577.26	Facility		$272.44	$345.19	$577.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.40 / $683.37 / $1,184.19	Professional		$512.40	$683.37	$1,184.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $325.48 / $23,832.20 / $23,832.20	Facility		$325.48	$23,832.20	$23,832.20
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $254.41 / $18,071.64 / $18,071.64	Facility	52	$254.41	$18,071.64	$18,071.64
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