Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.39 / $3,862.67 / $30,967.30	Facility		$1,182.39	$3,862.67	$30,967.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $8,746.00 / $15,579.70	Facility		$5,479.00	$8,746.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,796.18 / $3,267.55 / $5,012.51	Facility		$2,796.18	$3,267.55	$5,012.51
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $118.18	Facility	AS	$118.18	$118.18	$118.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $915.20 / $1,192.35 / $2,227.30	Facility		$915.20	$1,192.35	$2,227.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $944.54 / $1,383.40 / $12,855.00	Facility		$944.54	$1,383.40	$12,855.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,568.44 / $1,568.44 / $1,568.44	Facility	AS	$1,568.44	$1,568.44	$1,568.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $910.00 / $1,192.35 / $2,157.01	Facility		$910.00	$1,192.35	$2,157.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,900.20 / $2,534.23 / $4,413.60	Professional		$1,900.20	$2,534.23	$4,413.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,181.83 / $16,547.20 / $16,547.20	Facility		$1,181.83	$16,547.20	$16,547.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $1,568.44 / $1,568.44	Facility	AS	$118.18	$1,568.44	$1,568.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $11,608.00 / $13,980.00	Facility		$4,635.00	$11,608.00	$13,980.00