Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.01 / $2,261.54 / $14,482.00	Facility		$1,049.01	$2,261.54	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,831.32 / $3,308.62 / $5,075.51	Facility		$2,831.32	$3,308.62	$5,075.51
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.44 / $128.44 / $128.44	Facility	AS	$128.44	$128.44	$128.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,038.58 / $1,356.93 / $2,383.27	Facility		$1,038.58	$1,356.93	$2,383.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.59 / $1,539.52 / $4,821.00	Facility		$1,047.59	$1,539.52	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $524.39 / $524.39 / $524.39	Facility	AS	$524.39	$524.39	$524.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,038.58 / $1,356.93 / $2,383.27	Facility		$1,038.58	$1,356.93	$2,383.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,078.40 / $2,771.89 / $4,572.33	Professional		$2,078.40	$2,771.89	$4,572.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,309.66 / $10,601.20 / $10,601.20	Facility		$1,309.66	$10,601.20	$10,601.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $128.44 / $524.39 / $524.39	Facility	AS	$128.44	$524.39	$524.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00