Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,131.72 / $7,922.79 / $17,535.98	Facility		$1,131.72	$7,922.79	$17,535.98
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,544.84 / $13,544.84 / $13,544.84	Facility	50	$13,544.84	$13,544.84	$13,544.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $15,141.00 / $22,609.00	Facility		$9,287.00	$15,141.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,875.47 / $3,360.22 / $5,419.91	Facility		$2,875.47	$3,360.22	$5,419.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,131.72 / $1,641.25 / $4,536.57	Facility		$1,131.72	$1,641.25	$4,536.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,131.72 / $4,635.00 / $15,743.00	Facility		$1,131.72	$4,635.00	$15,743.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,131.72 / $1,641.25 / $4,536.57	Facility		$1,131.72	$1,641.25	$4,536.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,185.30 / $3,374.44 / $4,853.38	Professional		$2,185.30	$3,374.44	$4,853.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,110.45 / $27,110.45 / $27,110.45	Facility		$27,110.45	$27,110.45	$27,110.45
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,569.69 / $2,569.69 / $2,569.69	Facility	AS	$2,569.69	$2,569.69	$2,569.69
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00