Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.50 / $14,011.27 / $32,103.78	Facility		$1,135.50	$14,011.27	$32,103.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,844.00 / $22,609.00	Facility		$10,878.00	$14,844.00	$22,609.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,647.49 / $3,093.80 / $4,745.97	Facility		$2,647.49	$3,093.80	$4,745.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.50 / $120.50 / $120.50	Facility	AS	$120.50	$120.50	$120.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,033.78 / $1,393.83 / $2,730.00	Facility		$1,033.78	$1,393.83	$2,730.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,033.78 / $1,608.35 / $13,982.00	Facility		$1,033.78	$1,608.35	$13,982.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,105.03 / $2,105.03 / $2,105.03	Facility	AS	$2,105.03	$2,105.03	$2,105.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,033.78 / $1,393.83 / $2,730.00	Facility		$1,033.78	$1,393.83	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.40 / $2,599.85 / $4,275.07	Professional		$1,949.40	$2,599.85	$4,275.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,227.70 / $22,189.40 / $22,189.40	Facility		$1,227.70	$22,189.40	$22,189.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $120.50 / $2,105.03 / $2,105.03	Facility	AS	$120.50	$2,105.03	$2,105.03
United Facility/Professional Facility Modifier Low / Median / High Price $8,967.00 / $12,708.00 / $17,327.00	Facility		$8,967.00	$12,708.00	$17,327.00