Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,136.85 / $3,978.07 / $14,482.00	Facility		$2,136.85	$3,978.07	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,968.78 / $5,806.41 / $8,907.18	Facility		$4,968.78	$5,806.41	$8,907.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $227.05 / $227.05 / $227.05	Facility	AS	$227.05	$227.05	$227.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,756.14 / $2,303.13 / $4,218.85	Facility		$1,756.14	$2,303.13	$4,218.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,758.90 / $2,520.00 / $5,728.00	Facility		$1,758.90	$2,520.00	$5,728.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $927.06 / $927.06 / $927.06	Facility	AS	$927.06	$927.06	$927.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,756.14 / $2,303.13 / $4,218.85	Facility		$1,756.14	$2,303.13	$4,218.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,674.40 / $4,900.42 / $8,038.21	Professional		$3,674.40	$4,900.42	$8,038.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,318.78 / $18,705.75 / $18,705.75	Facility		$2,318.78	$18,705.75	$18,705.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $227.05 / $927.06 / $927.06	Facility	AS	$227.05	$927.06	$927.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00