Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.86 / $2,059.05 / $14,482.00	Facility		$617.86	$2,059.05	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,791.00 / $18,603.00	Facility		$7,084.00	$11,791.00	$18,603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,455.31 / $1,700.64 / $2,608.83	Facility		$1,455.31	$1,700.64	$2,608.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $65.17 / $65.17 / $65.17	Facility	AS	$65.17	$65.17	$65.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $556.98 / $708.93 / $1,209.82	Facility		$556.98	$708.93	$1,209.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $555.04 / $810.73 / $13,982.00	Facility		$555.04	$810.73	$13,982.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $556.11 / $708.93 / $1,217.02	Facility		$556.11	$708.93	$1,217.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,056.00 / $1,408.35 / $2,333.54	Professional		$1,056.00	$1,408.35	$2,333.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $657.10 / $16,223.75 / $16,223.75	Facility		$657.10	$16,223.75	$16,223.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $65.17 / $1,537.78 / $1,537.78	Facility	AS	$65.17	$1,537.78	$1,537.78
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