Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.26 / $2,646.36 / $14,482.00	Facility		$1,419.26	$2,646.36	$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 $3,314.32 / $3,873.04 / $5,941.35	Facility		$3,314.32	$3,873.04	$5,941.35
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $150.55 / $150.55 / $150.55	Facility	AS	$150.55	$150.55	$150.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,206.40 / $1,587.82 / $2,775.76	Facility		$1,206.40	$1,587.82	$2,775.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,238.70 / $1,766.81 / $4,821.00	Facility		$1,238.70	$1,766.81	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $614.61 / $614.61 / $614.61	Facility	AS	$614.61	$614.61	$614.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,197.04 / $1,587.82 / $2,775.76	Facility		$1,197.04	$1,587.82	$2,775.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,436.00 / $3,248.81 / $5,349.43	Professional		$2,436.00	$3,248.81	$5,349.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,533.31 / $12,417.92 / $12,417.92	Facility		$1,533.31	$12,417.92	$12,417.92
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $150.55 / $614.61 / $614.61	Facility	AS	$150.55	$614.61	$614.61
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