Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.11 / $4,319.81 / $14,482.00	Facility		$1,306.11	$4,319.81	$14,482.00
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 $3,062.01 / $3,578.20 / $5,489.04	Facility		$3,062.01	$3,578.20	$5,489.04
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $132.97 / $132.97 / $132.97	Facility	AS	$132.97	$132.97	$132.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,164.49 / $1,598.32 / $2,782.50	Facility		$1,164.49	$1,598.32	$2,782.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,159.05 / $1,809.05 / $12,855.00	Facility		$1,159.05	$1,809.05	$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 $1,164.49 / $1,570.48 / $2,782.50	Facility		$1,164.49	$1,570.48	$2,782.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,148.00 / $2,864.72 / $4,912.97	Professional		$2,148.00	$2,864.72	$4,912.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,349.70 / $16,547.20 / $16,547.20	Facility		$1,349.70	$16,547.20	$16,547.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $132.97 / $1,568.44 / $1,568.44	Facility	AS	$132.97	$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