Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $14,454.40	Facility		$1,318.26	$2,398.83	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,548.13 / $5,754.40	Facility		$3,090.30	$3,548.13	$5,754.40
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility	22	$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	AS	$199.53	$199.53	$199.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $7,943.28	Facility		$1,122.02	$1,621.81	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $13,182.57	Facility		$1,148.15	$1,737.80	$13,182.57
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	AS	$1,584.89	$1,584.89	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $3,715.35	Professional		$1,318.26	$2,398.83	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,122.02 / $1,122.02 / $1,659.59	Facility	AS	$1,122.02	$1,122.02	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10