Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.35 / $1,186.09 / $4,019.78	Facility		$255.35	$1,186.09	$4,019.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,496.71 / $15,496.71 / $15,496.71	Facility	50	$15,496.71	$15,496.71	$15,496.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,028.66 / $3,539.23 / $5,708.66	Facility		$3,028.66	$3,539.23	$5,708.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $255.35 / $522.45 / $1,666.75	Facility		$255.35	$522.45	$1,666.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.52 / $1,666.75 / $8,783.00	Facility		$273.52	$1,666.75	$8,783.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $255.35 / $522.45 / $1,666.75	Facility		$255.35	$522.45	$1,666.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $570.19 / $1,078.36 / $3,841.29	Professional		$570.19	$1,078.36	$3,841.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,028.18 / $2,028.18 / $2,028.18	Facility		$2,028.18	$2,028.18	$2,028.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00