Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,179.03 / $2,893.22 / $14,482.00	Facility		$1,179.03	$2,893.22	$14,482.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $884.27 / $884.27 / $2,169.92	Facility	54	$884.27	$884.27	$2,169.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,084.29 / $2,435.66 / $3,928.63	Facility		$2,084.29	$2,435.66	$3,928.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $721.50 / $1,086.88 / $1,606.20	Facility		$721.50	$1,086.88	$1,606.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $801.46 / $4,103.00 / $8,384.00	Facility		$801.46	$4,103.00	$8,384.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $721.50 / $1,086.88 / $1,988.61	Facility		$721.50	$1,086.88	$1,988.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,402.20 / $1,850.90 / $2,627.26	Professional		$1,402.20	$1,850.90	$2,627.26
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