Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.45 / $2,052.21 / $14,482.00	Facility		$1,101.45	$2,052.21	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $550.73 / $1,026.10 / $1,828.76	Facility	52	$550.73	$1,026.10	$1,828.76
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 $2,568.19 / $3,001.14 / $4,603.82	Facility		$2,568.19	$3,001.14	$4,603.82
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $931.75 / $931.75 / $931.75	Facility	52	$931.75	$931.75	$931.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $116.47 / $116.47	Facility	AS	$116.47	$116.47	$116.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $913.56 / $1,240.16 / $2,158.88	Facility		$913.56	$1,240.16	$2,158.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $931.56 / $1,379.80 / $4,821.00	Facility		$931.56	$1,379.80	$4,821.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,805.14 / $3,805.14 / $3,805.14	Facility	52	$3,805.14	$3,805.14	$3,805.14
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $475.64 / $475.64 / $475.64	Facility	AS	$475.64	$475.64	$475.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $912.10 / $1,239.20 / $2,158.88	Facility		$912.10	$1,239.20	$2,158.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,885.20 / $2,514.23 / $4,147.71	Professional		$1,885.20	$2,514.23	$4,147.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,187.10 / $8,412.67 / $8,412.67	Facility		$1,187.10	$8,412.67	$8,412.67
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $931.75 / $3,805.14 / $3,805.14	Facility	52	$931.75	$3,805.14	$3,805.14
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $116.47 / $475.64 / $475.64	Facility	AS	$116.47	$475.64	$475.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00