Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.97 / $942.55 / $14,482.00	Facility		$681.97	$942.55	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.85 / $0.85 / $0.88	Facility	50	$0.85	$0.85	$0.88
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 $1,208.40 / $1,412.11 / $2,277.69	Facility		$1,208.40	$1,412.11	$2,277.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $437.02 / $681.97 / $1,160.42	Facility		$437.02	$681.97	$1,160.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $502.69 / $4,614.00 / $8,384.00	Facility		$502.69	$4,614.00	$8,384.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,261.15 / $4,602.03 / $4,668.83	Facility	50	$3,261.15	$4,602.03	$4,668.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $437.02 / $681.97 / $1,535.44	Facility		$437.02	$681.97	$1,535.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $814.80 / $1,075.54 / $1,605.56	Professional		$814.80	$1,075.54	$1,605.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $5,819.45 / $5,819.45	Facility		$5,819.45	$5,819.45	$5,819.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00