Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.51 / $2,543.21 / $14,482.00	Facility		$1,036.51	$2,543.21	$14,482.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $777.38 / $777.38 / $1,907.42	Facility	54	$777.38	$777.38	$1,907.42
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 $1,833.78 / $2,142.92 / $3,456.45	Facility		$1,833.78	$2,142.92	$3,456.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $634.22 / $955.16 / $1,412.40	Facility		$634.22	$955.16	$1,412.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $723.55 / $4,103.00 / $8,384.00	Facility		$723.55	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $634.22 / $955.16 / $1,831.49	Facility		$634.22	$955.16	$1,831.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,232.40 / $1,626.77 / $2,309.11	Professional		$1,232.40	$1,626.77	$2,309.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $6,887.55 / $6,887.55	Facility		$6,887.55	$6,887.55	$6,887.55
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $4,569.92 / $4,569.92 / $4,569.92	Facility	54	$4,569.92	$4,569.92	$4,569.92
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