Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $1,894.00 / $14,482.00	Facility		$49.56	$1,894.00	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.33 / $592.86 / $909.46	Facility		$507.33	$592.86	$909.46
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.89 / $14.89 / $14.89	Facility	53	$14.89	$14.89	$14.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $128.86 / $230.65	Facility		$49.68	$128.86	$230.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.56 / $150.97 / $2,683.00	Facility		$49.56	$150.97	$2,683.00
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $51.47 / $51.47 / $51.47	Facility	53	$51.47	$51.47	$51.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $129.83 / $230.65	Facility		$49.68	$129.83	$230.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.71 / $254.96 / $623.66	Professional		$123.71	$254.96	$623.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $302.14 / $302.14	Facility		$74.45	$302.14	$302.14
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $14.89 / $51.47 / $51.47	Facility	53	$14.89	$51.47	$51.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $2,910.00 / $4,155.00	Facility		$2,367.00	$2,910.00	$4,155.00