Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.17 / $444.94 / $14,482.00	Facility		$201.17	$444.94	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.86 / $0.86 / $0.86	Facility	50	$0.86	$0.86	$0.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $11,302.00 / $14,586.00	Facility		$6,159.00	$11,302.00	$14,586.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $556.89 / $650.77 / $998.30	Facility		$556.89	$650.77	$998.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $201.17 / $299.74 / $630.00	Facility		$201.17	$299.74	$630.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.17 / $362.11 / $1,756.00	Facility		$201.17	$362.11	$1,756.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $201.17 / $299.74 / $630.00	Facility		$201.17	$299.74	$630.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $425.43 / $552.82 / $792.65	Professional		$425.43	$552.82	$792.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,821.50 / $6,821.50 / $6,821.50	Facility		$6,821.50	$6,821.50	$6,821.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $105.67 / $105.67 / $105.67	Facility	AS	$105.67	$105.67	$105.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90