Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.93 / $1,653.95 / $14,482.00	Facility		$813.93	$1,653.95	$14,482.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $406.97 / $826.98 / $1,473.86	Facility	52	$406.97	$826.98	$1,473.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,078.88 / $2,429.34 / $3,918.44	Facility		$2,078.88	$2,429.34	$3,918.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.26 / $1,111.08 / $2,367.51	Facility		$812.26	$1,111.08	$2,367.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $813.93 / $2,367.51 / $23,474.00	Facility		$813.93	$2,367.51	$23,474.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $812.26 / $1,111.08 / $2,367.51	Facility		$812.26	$1,111.08	$2,367.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,574.95 / $2,431.96 / $3,275.69	Professional		$1,574.95	$2,431.96	$3,275.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $96,288.85 / $96,288.85 / $96,288.85	Facility		$96,288.85	$96,288.85	$96,288.85
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $73,014.52 / $73,014.52 / $73,014.52	Facility	52	$73,014.52	$73,014.52	$73,014.52
United Facility/Professional Facility Modifier Low / Median / High Price $9,662.00 / $16,424.00 / $23,474.00	Facility		$9,662.00	$16,424.00	$23,474.00