Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $14,454.40	Facility		$1,047.13	$2,238.72	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,803.84	Facility		$5,011.87	$8,317.64	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $5,248.07	Facility		$2,818.38	$3,311.31	$5,248.07
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility	22	$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	AS	$194.98	$194.98	$194.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $8,511.38	Facility		$1,023.29	$1,412.54	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $5,888.44	Facility		$1,047.13	$1,479.11	$5,888.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	AS	$524.81	$524.81	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $3,890.45	Professional		$1,380.38	$2,511.89	$3,890.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $10,471.29 / $10,471.29	Facility		$2,818.38	$10,471.29	$10,471.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $281.84 / $281.84 / $1,047.13	Facility	AS	$281.84	$281.84	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45