Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $14,454.40	Facility		$1,096.48	$2,041.74	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,803.84	Facility		$5,011.87	$8,317.64	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $4,786.30	Facility		$2,570.40	$3,019.95	$4,786.30
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	AS	$177.83	$177.83	$177.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,348.96 / $8,128.31	Facility		$954.99	$1,348.96	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $5,754.40	Facility		$1,000.00	$1,348.96	$5,754.40
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	AS	$478.63	$478.63	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $3,630.78	Professional		$1,288.25	$2,290.87	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $9,549.93 / $9,549.93	Facility		$2,570.40	$9,549.93	$9,549.93
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $257.04 / $257.04 / $954.99	Facility	AS	$257.04	$257.04	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45