Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.01 / $2,063.21 / $14,482.00	Facility		$1,103.01	$2,063.21	$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 $2,581.71 / $3,016.93 / $4,628.05	Facility		$2,581.71	$3,016.93	$4,628.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $117.29 / $117.29 / $117.29	Facility	AS	$117.29	$117.29	$117.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.43 / $1,269.29 / $2,188.15	Facility		$1,000.43	$1,269.29	$2,188.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.43 / $1,391.08 / $4,821.00	Facility		$1,000.43	$1,391.08	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $478.82 / $478.82 / $478.82	Facility	AS	$478.82	$478.82	$478.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,000.43 / $1,250.00 / $2,184.00	Facility		$1,000.43	$1,250.00	$2,184.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,897.80 / $2,531.03 / $4,165.91	Professional		$1,897.80	$2,531.03	$4,165.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,193.57 / $9,673.12 / $9,673.12	Facility		$1,193.57	$9,673.12	$9,673.12
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $117.29 / $478.82 / $478.82	Facility	AS	$117.29	$478.82	$478.82
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