Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.43 / $1,396.53 / $14,482.00	Facility		$749.43	$1,396.53	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,758.09 / $2,054.46 / $3,151.60	Facility		$1,758.09	$2,054.46	$3,151.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.00 / $79.00 / $79.00	Facility	AS	$79.00	$79.00	$79.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.12 / $876.83 / $1,551.70	Facility		$676.12	$876.83	$1,551.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.75 / $1,029.41 / $6,669.00	Facility		$676.75	$1,029.41	$6,669.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $382.77 / $382.77 / $382.77	Facility	AS	$382.77	$382.77	$382.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $676.12 / $881.05 / $1,575.00	Facility		$676.12	$881.05	$1,575.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,277.40 / $1,703.63 / $2,825.39	Professional		$1,277.40	$1,703.63	$2,825.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $799.48 / $6,530.08 / $6,530.08	Facility		$799.48	$6,530.08	$6,530.08
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $79.00 / $382.77 / $382.77	Facility	AS	$79.00	$382.77	$382.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00