Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,812.97 / $8,466.00 / $29,000.86	Facility		$1,812.97	$8,466.00	$29,000.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,823.00 / $26,530.00	Facility		$12,080.00	$16,823.00	$26,530.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,213.64 / $4,923.97 / $7,553.49	Facility		$4,213.64	$4,923.97	$7,553.49
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $1,205.60 / $1,205.60	Facility	62	$1,205.60	$1,205.60	$1,205.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $192.90 / $192.90	Facility	AS	$192.90	$192.90	$192.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,647.62 / $2,070.57 / $3,561.00	Facility		$1,647.62	$2,070.57	$3,561.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,647.62 / $2,490.48 / $14,270.00	Facility		$1,647.62	$2,490.48	$14,270.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $13,156.44 / $13,156.44 / $13,156.44	Facility	62	$13,156.44	$13,156.44	$13,156.44
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 $1,647.62 / $2,074.98 / $3,561.00	Facility		$1,647.62	$2,074.98	$3,561.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,117.60 / $4,157.84 / $6,819.80	Professional		$3,117.60	$4,157.84	$6,819.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,971.38 / $22,189.40 / $22,189.40	Facility		$1,971.38	$22,189.40	$22,189.40
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $1,205.60 / $13,156.44 / $13,156.44	Facility	62	$1,205.60	$13,156.44	$13,156.44
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $192.90 / $2,105.03 / $2,105.03	Facility	AS	$192.90	$2,105.03	$2,105.03
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