Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.02 / $2,245.28 / $46,704.10	Facility		$652.02	$2,245.28	$46,704.10
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $130.40 / $130.40 / $449.06	Facility	53	$130.40	$130.40	$449.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,435.00 / $24,897.00 / $39,291.00	Facility		$17,435.00	$24,897.00	$39,291.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $616.23 / $954.38 / $954.38	Facility		$616.23	$954.38	$954.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,573.36 / $1,838.59 / $2,965.58	Facility		$1,573.36	$1,838.59	$2,965.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $615.91 / $750.20 / $1,218.06	Facility		$615.91	$750.20	$1,218.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $615.91 / $10,617.00 / $20,056.00	Facility		$615.91	$10,617.00	$20,056.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $615.91 / $750.20 / $1,218.06	Facility		$615.91	$750.20	$1,218.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,335.46 / $1,739.05 / $2,264.88	Professional		$1,335.46	$1,739.05	$2,264.88
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 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 $8,627.00 / $14,541.00 / $26,114.00	Facility		$8,627.00	$14,541.00	$26,114.00