Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.60 / $1,497.85 / $14,482.00	Facility		$739.60	$1,497.85	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $369.80 / $748.93 / $1,334.75	Facility	52	$369.80	$748.93	$1,334.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,878.84 / $2,195.57 / $3,541.37	Facility		$1,878.84	$2,195.57	$3,541.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $739.60 / $997.85 / $2,209.73	Facility		$739.60	$997.85	$2,209.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $739.60 / $2,209.73 / $7,700.00	Facility		$739.60	$2,209.73	$7,700.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $732.28 / $997.85 / $2,209.73	Facility		$732.28	$997.85	$2,209.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,485.25 / $2,285.00 / $2,932.82	Professional		$1,485.25	$2,285.00	$2,932.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,997.36 / $6,997.36 / $6,997.36	Facility		$6,997.36	$6,997.36	$6,997.36
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $2,767.26 / $2,767.26 / $2,767.26	Facility	52	$2,767.26	$2,767.26	$2,767.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00