Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.90 / $2,241.94 / $14,482.00	Facility		$1,204.90	$2,241.94	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,603.00	Facility		$7,084.00	$11,523.00	$18,603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,813.30 / $3,287.56 / $5,043.20	Facility		$2,813.30	$3,287.56	$5,043.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.13 / $128.13 / $128.13	Facility	AS	$128.13	$128.13	$128.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.06 / $1,382.60 / $2,367.00	Facility		$1,096.06	$1,382.60	$2,367.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,094.91 / $1,547.66 / $5,887.00	Facility		$1,094.91	$1,547.66	$5,887.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $521.66 / $521.66 / $521.66	Facility	AS	$521.66	$521.66	$521.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,096.06 / $1,384.71 / $2,367.00	Facility		$1,096.06	$1,384.71	$2,367.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,067.60 / $2,757.49 / $4,546.60	Professional		$2,067.60	$2,757.49	$4,546.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,307.42 / $10,564.72 / $10,564.72	Facility		$1,307.42	$10,564.72	$10,564.72
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $128.13 / $521.66 / $521.66	Facility	AS	$128.13	$521.66	$521.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00