Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.84 / $301.70 / $14,482.00	Facility		$162.84	$301.70	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $23,937.00	Facility		$12,080.00	$18,175.43	$23,937.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.77 / $439.11 / $673.61	Facility		$375.77	$439.11	$673.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $17.41 / $17.41	Facility	AS	$17.41	$17.41	$17.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $148.90 / $187.73 / $319.98	Facility		$148.90	$187.73	$319.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $211.81 / $4,821.00	Facility		$147.60	$211.81	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $70.70 / $70.70 / $70.70	Facility	AS	$70.70	$70.70	$70.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $147.60 / $187.88 / $319.98	Facility		$147.60	$187.88	$319.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $280.20 / $373.69 / $612.19	Professional		$280.20	$373.69	$612.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $179.16 / $706.96 / $706.96	Facility		$179.16	$706.96	$706.96
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $70.70 / $70.70	Facility	AS	$17.41	$70.70	$70.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00