Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.45 / $1,797.48 / $36,441.89	Facility		$521.45	$1,797.48	$36,441.89
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $260.73 / $260.73 / $898.74	Facility	52	$260.73	$260.73	$898.74
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $104.29 / $104.29 / $359.50	Facility	53	$104.29	$104.29	$359.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $23,264.00 / $38,530.00	Facility		$10,878.00	$23,264.00	$38,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.85 / $1,471.08 / $2,372.80	Facility		$1,258.85	$1,471.08	$2,372.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $493.08 / $600.04 / $975.13	Facility		$493.08	$600.04	$975.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $493.08 / $13,982.00 / $19,078.93	Facility		$493.08	$13,982.00	$19,078.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $493.08 / $600.04 / $975.13	Facility		$493.08	$600.04	$975.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,072.60 / $1,392.86 / $1,819.12	Professional		$1,072.60	$1,392.86	$1,819.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,754.00 / $31,754.00 / $31,754.00	Facility		$31,754.00	$31,754.00	$31,754.00
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $25,403.20 / $25,403.20 / $25,403.20	Facility	52	$25,403.20	$25,403.20	$25,403.20
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $6,350.80 / $6,350.80 / $6,350.80	Facility	53	$6,350.80	$6,350.80	$6,350.80
Security Health Facility/Professional Facility Modifier Low / Median / High Price $25,543.84 / $29,951.96 / $37,564.47	Facility		$25,543.84	$29,951.96	$37,564.47
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $14,541.00 / $24,032.00	Facility		$7,984.00	$14,541.00	$24,032.00