Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.79 / $2,718.54 / $14,482.00	Facility		$816.79	$2,718.54	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $408.40 / $762.68 / $1,359.27	Facility	52	$408.40	$762.68	$1,359.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,224.00 / $11,448.40	Facility		$5,169.00	$8,224.00	$11,448.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,913.08 / $2,235.58 / $3,429.44	Facility		$1,913.08	$2,235.58	$3,429.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $688.97 / $688.97 / $688.97	Facility	52	$688.97	$688.97	$688.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $86.12 / $86.12	Facility	AS	$86.12	$86.12	$86.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.45 / $991.62 / $1,629.45	Facility		$741.45	$991.62	$1,629.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $740.24 / $1,093.43 / $8,602.00	Facility		$740.24	$1,093.43	$8,602.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,816.91 / $2,816.91 / $2,816.91	Facility	52	$2,816.91	$2,816.91	$2,816.91
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $352.11 / $352.11 / $352.11	Facility	AS	$352.11	$352.11	$352.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $741.45 / $957.24 / $1,629.45	Facility		$741.45	$957.24	$1,629.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,395.60 / $1,861.27 / $3,080.96	Professional		$1,395.60	$1,861.27	$3,080.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $875.09 / $6,229.93 / $6,229.93	Facility		$875.09	$6,229.93	$6,229.93
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $688.97 / $2,816.91 / $2,816.91	Facility	52	$688.97	$2,816.91	$2,816.91
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $86.12 / $352.11 / $352.11	Facility	AS	$86.12	$352.11	$352.11
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00