Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.52 / $16,026.03 / $24,188.02	Facility		$1,154.52	$16,026.03	$24,188.02
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 $2,665.51 / $3,114.86 / $4,778.28	Facility		$2,665.51	$3,114.86	$4,778.28
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.14 / $123.14 / $123.14	Facility	AS	$123.14	$123.14	$123.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,054.77 / $1,327.20 / $2,254.67	Facility		$1,054.77	$1,327.20	$2,254.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,045.95 / $1,616.33 / $13,982.00	Facility		$1,045.95	$1,616.33	$13,982.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $502.13 / $502.13 / $502.13	Facility	AS	$502.13	$502.13	$502.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,045.95 / $1,328.50 / $2,254.67	Facility		$1,045.95	$1,328.50	$2,254.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,990.20 / $2,654.26 / $4,329.93	Professional		$1,990.20	$2,654.26	$4,329.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,264.70 / $15,184.32 / $15,184.32	Facility		$1,264.70	$15,184.32	$15,184.32
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $123.14 / $502.13 / $502.13	Facility	AS	$123.14	$502.13	$502.13
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $13,721.00 / $15,903.00	Facility		$8,627.00	$13,721.00	$15,903.00