Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.73 / $6,766.92 / $17,522.49	Facility		$603.73	$6,766.92	$17,522.49
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $29,452.50 / $29,452.50 / $29,452.50	Facility	50	$29,452.50	$29,452.50	$29,452.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,791.00 / $18,603.00	Facility		$7,084.00	$11,791.00	$18,603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.77 / $1,663.79 / $2,552.29	Facility		$1,423.77	$1,663.79	$2,552.29
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Facility	AS	$63.83	$63.83	$63.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $544.66 / $729.43 / $1,425.25	Facility		$544.66	$729.43	$1,425.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $544.66 / $830.36 / $13,982.00	Facility		$544.66	$830.36	$13,982.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $10,301.45 / $10,301.45 / $16,448.40	Facility	50	$10,301.45	$10,301.45	$16,448.40
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $544.66 / $729.43 / $1,425.25	Facility		$544.66	$729.43	$1,425.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,034.40 / $1,379.54 / $2,282.81	Professional		$1,034.40	$1,379.54	$2,282.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $643.98 / $16,223.75 / $16,223.75	Facility		$643.98	$16,223.75	$16,223.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $63.83 / $1,537.78 / $1,537.78	Facility	AS	$63.83	$1,537.78	$1,537.78
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $12,373.00 / $15,903.00	Facility		$6,154.00	$12,373.00	$15,903.00