Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $269.15 / $14,454.40	Facility		$147.91	$269.15	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,803.84	Facility		$5,011.87	$8,128.31	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $630.96	Facility		$338.84	$398.11	$630.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $23.99 / $23.99 / $23.99	Facility	AS	$23.99	$23.99	$23.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $190.55 / $8,128.31	Facility		$131.83	$190.55	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $204.17 / $4,786.30	Facility		$134.90	$204.17	$4,786.30
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	AS	$63.10	$63.10	$63.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $457.09	Professional		$162.18	$295.12	$457.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,288.25 / $1,288.25	Facility		$338.84	$1,288.25	$1,288.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $33.88 / $33.88 / $87.10	Facility	AS	$33.88	$33.88	$87.10
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