Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.48 / $3,861.27 / $17,254.41	Facility		$1,166.48	$3,861.27	$17,254.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,038.00 / $15,579.70	Facility		$6,538.00	$10,038.00	$15,579.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,739.40 / $3,201.21 / $4,910.74	Facility		$2,739.40	$3,201.21	$4,910.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.93 / $118.93 / $118.93	Facility	AS	$118.93	$118.93	$118.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,038.51 / $1,422.24 / $2,269.94	Facility		$1,038.51	$1,422.24	$2,269.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,025.58 / $1,529.12 / $12,855.00	Facility		$1,025.58	$1,529.12	$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 $1,019.63 / $1,364.78 / $2,257.50	Facility		$1,019.63	$1,364.78	$2,257.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,919.40 / $2,559.84 / $4,393.13	Professional		$1,919.40	$2,559.84	$4,393.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,205.52 / $16,547.20 / $16,547.20	Facility		$1,205.52	$16,547.20	$16,547.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $118.93 / $1,568.44 / $1,568.44	Facility	AS	$118.93	$1,568.44	$1,568.44
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00