Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.02 / $2,244.44 / $17,823.00	Facility		$652.02	$2,244.44	$17,823.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $326.01 / $326.01 / $1,122.22	Facility	52	$326.01	$326.01	$1,122.22
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $130.40 / $130.40 / $448.89	Facility	53	$130.40	$130.40	$448.89
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 $1,573.36 / $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 $615.67 / $750.06 / $1,217.57	Facility		$615.67	$750.06	$1,217.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $615.67 / $12,741.00 / $25,953.00	Facility		$615.67	$12,741.00	$25,953.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $615.67 / $750.06 / $1,217.57	Facility		$615.67	$750.06	$1,217.57
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 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 $8,627.00 / $14,541.00 / $26,114.00	Facility		$8,627.00	$14,541.00	$26,114.00