Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.84 / $3,290.08 / $14,482.00	Facility		$989.84	$3,290.08	$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 $2,313.17 / $2,703.13 / $4,146.67	Facility		$2,313.17	$2,703.13	$4,146.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $104.84 / $104.84	Facility	AS	$104.84	$104.84	$104.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $897.60 / $1,148.66 / $1,971.89	Facility		$897.60	$1,148.66	$1,971.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $897.60 / $1,266.82 / $4,821.00	Facility		$897.60	$1,266.82	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $428.11 / $428.11 / $428.11	Facility	AS	$428.11	$428.11	$428.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $897.60 / $1,147.67 / $1,930.00	Facility		$897.60	$1,147.67	$1,930.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,696.80 / $2,262.96 / $3,730.92	Professional		$1,696.80	$2,262.96	$3,730.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,066.83 / $8,652.00 / $8,652.00	Facility		$1,066.83	$8,652.00	$8,652.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $428.11 / $428.11	Facility	AS	$104.84	$428.11	$428.11
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