Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $272.02 / $14,482.00	Facility		$147.38	$272.02	$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 $338.82 / $395.94 / $607.38	Facility		$338.82	$395.94	$607.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $15.62 / $15.62 / $15.62	Facility	AS	$15.62	$15.62	$15.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.66 / $186.02 / $597.29	Facility		$134.66	$186.02	$597.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.99 / $211.88 / $4,602.00	Facility		$132.99	$211.88	$4,602.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $63.58 / $63.58 / $63.58	Facility	AS	$63.58	$63.58	$63.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $132.99 / $186.02 / $597.29	Facility		$132.99	$186.02	$597.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $336.08 / $551.30	Professional		$252.00	$336.08	$551.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $160.57 / $1,300.00 / $1,300.00	Facility		$160.57	$1,300.00	$1,300.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $15.62 / $63.58 / $63.58	Facility	AS	$15.62	$63.58	$63.58
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