Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,825.66 / $14,482.00 / $38,417.26	Facility		$1,825.66	$14,482.00	$38,417.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,126.00 / $22,370.00	Facility		$7,084.00	$12,126.00	$22,370.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,252.39 / $4,969.25 / $7,622.95	Facility		$4,252.39	$4,969.25	$7,622.95
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.20 / $194.20 / $194.20	Facility	AS	$194.20	$194.20	$194.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,661.85 / $2,248.62 / $3,891.50	Facility		$1,661.85	$2,248.62	$3,891.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,661.85 / $2,583.73 / $13,721.00	Facility		$1,661.85	$2,583.73	$13,721.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $792.48 / $792.48 / $792.48	Facility	AS	$792.48	$792.48	$792.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,659.45 / $2,248.62 / $4,300.00	Facility		$1,659.45	$2,248.62	$4,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,141.00 / $4,189.05 / $6,871.42	Professional		$3,141.00	$4,189.05	$6,871.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,980.11 / $23,994.24 / $23,994.24	Facility		$1,980.11	$23,994.24	$23,994.24
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $194.20 / $792.48 / $792.48	Facility	AS	$194.20	$792.48	$792.48
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,752.00 / $17,327.00	Facility		$7,984.00	$13,752.00	$17,327.00