Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.48 / $3,119.00 / $9,402.36	Facility		$213.48	$3,119.00	$9,402.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.63 / $312.75 / $479.77	Facility		$267.63	$312.75	$479.77
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.25 / $94.25 / $94.25	Facility	52	$94.25	$94.25	$94.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.98 / $131.35 / $234.56	Facility		$99.98	$131.35	$234.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.98 / $155.08 / $4,821.00	Facility		$99.98	$155.08	$4,821.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,012.68 / $6,012.68 / $6,012.68	Facility	52	$6,012.68	$6,012.68	$6,012.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.05 / $131.35 / $237.20	Facility		$98.05	$131.35	$237.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $256.06 / $429.74	Professional		$192.00	$256.06	$429.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $7,929.30 / $7,929.30	Facility		$120.00	$7,929.30	$7,929.30
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $94.25 / $6,012.68 / $6,012.68	Facility	52	$94.25	$6,012.68	$6,012.68
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