Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.05 / $1,530.58 / $14,482.00	Facility		$461.05	$1,530.58	$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 $1,091.26 / $1,275.22 / $1,956.22	Facility		$1,091.26	$1,275.22	$1,956.22
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.01 / $47.01 / $47.01	Facility	AS	$47.01	$47.01	$47.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $406.95 / $556.55 / $2,260.80	Facility		$406.95	$556.55	$2,260.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.20 / $650.03 / $12,855.00	Facility		$408.20	$650.03	$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 $408.20 / $556.53 / $2,260.80	Facility		$408.20	$556.53	$2,260.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $757.80 / $1,010.65 / $1,741.37	Professional		$757.80	$1,010.65	$1,741.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $473.24 / $16,547.20 / $16,547.20	Facility		$473.24	$16,547.20	$16,547.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $47.01 / $1,568.44 / $1,568.44	Facility	AS	$47.01	$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