Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.29 / $2,674.30 / $14,482.00	Facility		$1,435.29	$2,674.30	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $17,761.15	Facility		$5,060.00	$8,006.00	$17,761.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,346.76 / $3,910.95 / $5,999.50	Facility		$3,346.76	$3,910.95	$5,999.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $152.11 / $152.11 / $152.11	Facility	AS	$152.11	$152.11	$152.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $1,537.76 / $2,808.79	Facility		$1,218.00	$1,537.76	$2,808.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,220.00 / $1,789.24 / $10,230.00	Facility		$1,220.00	$1,789.24	$10,230.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $621.27 / $621.27 / $621.27	Facility	AS	$621.27	$621.27	$621.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,210.77 / $1,521.38 / $2,808.73	Facility		$1,210.77	$1,521.38	$2,808.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,462.40 / $3,284.02 / $5,403.46	Professional		$2,462.40	$3,284.02	$5,403.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,549.62 / $12,545.84 / $12,545.84	Facility		$1,549.62	$12,545.84	$12,545.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $152.11 / $621.27 / $621.27	Facility	AS	$152.11	$621.27	$621.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,953.00 / $12,062.00	Facility		$4,240.00	$9,953.00	$12,062.00