Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.60 / $2,504.27 / $16,969.20	Facility		$1,346.60	$2,504.27	$16,969.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,328.00 / $31,682.36	Facility		$12,080.00	$17,328.00	$31,682.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,135.00 / $3,663.49 / $5,619.89	Facility		$3,135.00	$3,663.49	$5,619.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $143.09 / $143.09 / $143.09	Facility	AS	$143.09	$143.09	$143.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.35 / $1,537.82 / $2,642.00	Facility		$1,202.35	$1,537.82	$2,642.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.35 / $1,845.96 / $13,982.00	Facility		$1,202.35	$1,845.96	$13,982.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $583.41 / $583.41 / $583.41	Facility	AS	$583.41	$583.41	$583.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,202.35 / $1,539.86 / $2,642.00	Facility		$1,202.35	$1,539.86	$2,642.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,312.40 / $3,083.97 / $5,070.55	Professional		$2,312.40	$3,083.97	$5,070.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,461.02 / $11,792.32 / $11,792.32	Facility		$1,461.02	$11,792.32	$11,792.32
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $143.09 / $583.41 / $583.41	Facility	AS	$143.09	$583.41	$583.41
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,903.00	Facility		$8,627.00	$12,373.00	$15,903.00