Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.54 / $3,826.78 / $14,482.00	Facility		$1,152.54	$3,826.78	$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 $2,686.24 / $3,139.08 / $4,815.43	Facility		$2,686.24	$3,139.08	$4,815.43
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.95 / $121.95 / $121.95	Facility	AS	$121.95	$121.95	$121.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,046.51 / $1,375.15 / $2,354.23	Facility		$1,046.51	$1,375.15	$2,354.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,045.75 / $1,475.80 / $4,821.00	Facility		$1,045.75	$1,475.80	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $497.90 / $497.90 / $497.90	Facility	AS	$497.90	$497.90	$497.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,046.51 / $1,348.47 / $2,308.63	Facility		$1,046.51	$1,348.47	$2,308.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,973.40 / $2,631.86 / $4,339.10	Professional		$1,973.40	$2,631.86	$4,339.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,243.03 / $10,063.84 / $10,063.84	Facility		$1,243.03	$10,063.84	$10,063.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $121.95 / $497.90 / $497.90	Facility	AS	$121.95	$497.90	$497.90
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