Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.79 / $3,769.40 / $14,482.00	Facility		$1,132.79	$3,769.40	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $566.40 / $1,057.50 / $1,884.70	Facility	52	$566.40	$1,057.50	$1,884.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,648.39 / $3,094.86 / $4,747.59	Facility		$2,648.39	$3,094.86	$4,747.59
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,002.94 / $1,287.40 / $2,261.54	Facility		$1,002.94	$1,287.40	$2,261.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,002.94 / $1,443.20 / $11,955.00	Facility		$1,002.94	$1,443.20	$11,955.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,923.82 / $3,923.82 / $3,923.82	Facility	52	$3,923.82	$3,923.82	$3,923.82
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $490.48 / $490.48 / $490.48	Facility	AS	$490.48	$490.48	$490.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $988.14 / $1,287.40 / $2,252.34	Facility		$988.14	$1,287.40	$2,252.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,944.00 / $2,592.65 / $4,269.33	Professional		$1,944.00	$2,592.65	$4,269.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,219.08 / $9,898.71 / $9,898.71	Facility		$1,219.08	$9,898.71	$9,898.71
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $959.49 / $3,923.82 / $3,923.82	Facility	52	$959.49	$3,923.82	$3,923.82
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $490.48 / $490.48	Facility	AS	$119.94	$490.48	$490.48
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $12,855.00 / $17,317.00	Facility		$7,217.00	$12,855.00	$17,317.00