Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,060.67 / $3,844.53 / $14,482.00	Facility		$2,060.67	$3,844.53	$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 $4,796.66 / $5,605.28 / $8,598.64	Facility		$4,796.66	$5,605.28	$8,598.64
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $219.00 / $219.00 / $219.00	Facility	AS	$219.00	$219.00	$219.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,872.72 / $2,378.48 / $4,024.30	Facility		$1,872.72	$2,378.48	$4,024.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,825.75 / $2,568.61 / $5,606.51	Facility		$1,825.75	$2,568.61	$5,606.51
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $895.72 / $895.72 / $895.72	Facility	AS	$895.72	$895.72	$895.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,804.49 / $2,378.48 / $4,024.30	Facility		$1,804.49	$2,378.48	$4,024.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,550.20 / $4,734.78 / $7,753.68	Professional		$3,550.20	$4,734.78	$7,753.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,233.56 / $27,063.48 / $27,063.48	Facility		$2,233.56	$27,063.48	$27,063.48
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $219.00 / $895.72 / $895.72	Facility	AS	$219.00	$895.72	$895.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00