Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.45 / $3,710.23 / $14,482.00	Facility		$353.45	$3,710.23	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,412.53 / $11,010.58 / $11,010.58	Facility	50	$5,412.53	$11,010.58	$11,010.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.16 / $999.33 / $1,611.88	Facility		$855.16	$999.33	$1,611.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $353.45 / $474.69 / $1,646.14	Facility		$353.45	$474.69	$1,646.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $353.45 / $1,646.14 / $11,598.00	Facility		$353.45	$1,646.14	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $353.45 / $474.69 / $1,646.14	Facility		$353.45	$474.69	$1,646.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $646.75 / $998.68 / $1,176.39	Professional		$646.75	$998.68	$1,176.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00