Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.45 / $2,442.85 / $14,482.00	Facility		$993.45	$2,442.85	$14,482.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,975.40 / $2,975.40 / $2,975.40	Facility	50	$2,975.40	$2,975.40	$2,975.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,750.88 / $2,046.04 / $3,300.19	Facility		$1,750.88	$2,046.04	$3,300.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $640.75 / $944.24 / $1,387.06	Facility		$640.75	$944.24	$1,387.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $731.03 / $4,240.00 / $11,598.00	Facility		$731.03	$4,240.00	$11,598.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $640.75 / $944.24 / $1,874.51	Facility		$640.75	$944.24	$1,874.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,183.80 / $1,562.62 / $2,332.67	Professional		$1,183.80	$1,562.62	$2,332.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $9,001.70 / $9,001.70	Facility		$9,001.70	$9,001.70	$9,001.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00