Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.03 / $3,376.18 / $14,482.00	Facility		$1,015.03	$3,376.18	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,774.00 / $12,204.00	Facility		$5,060.00	$7,774.00	$12,204.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,371.75 / $2,771.58 / $4,251.67	Facility		$2,371.75	$2,771.58	$4,251.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $107.75 / $107.75	Facility	AS	$107.75	$107.75	$107.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $901.68 / $1,148.63 / $1,977.71	Facility		$901.68	$1,148.63	$1,977.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $901.43 / $1,302.32 / $16,461.00	Facility		$901.43	$1,302.32	$16,461.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,008.48 / $1,008.48 / $1,008.48	Facility	AS	$1,008.48	$1,008.48	$1,008.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $901.68 / $1,149.81 / $1,977.71	Facility		$901.68	$1,149.81	$1,977.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,746.00 / $2,328.58 / $3,824.46	Professional		$1,746.00	$2,328.58	$3,824.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,095.64 / $13,326.00 / $13,326.00	Facility		$1,095.64	$13,326.00	$13,326.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $107.75 / $1,008.48 / $1,008.48	Facility	AS	$107.75	$1,008.48	$1,008.48
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,566.00 / $20,827.00	Facility		$7,775.00	$14,566.00	$20,827.00