Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,390.84 / $2,595.08 / $14,482.00	Facility		$1,390.84	$2,595.08	$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 $3,246.74 / $3,794.07 / $5,820.20	Facility		$3,246.74	$3,794.07	$5,820.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.97 / $146.97 / $146.97	Facility	AS	$146.97	$146.97	$146.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,182.21 / $1,563.71 / $2,711.67	Facility		$1,182.21	$1,563.71	$2,711.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,200.08 / $1,734.40 / $4,821.00	Facility		$1,200.08	$1,734.40	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $600.67 / $600.67 / $600.67	Facility	AS	$600.67	$600.67	$600.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,153.36 / $1,557.15 / $2,711.67	Facility		$1,153.36	$1,557.15	$2,711.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,380.80 / $3,175.19 / $5,240.32	Professional		$2,380.80	$3,175.19	$5,240.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,497.17 / $12,136.96 / $12,136.96	Facility		$1,497.17	$12,136.96	$12,136.96
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $146.97 / $600.67 / $600.67	Facility	AS	$146.97	$600.67	$600.67
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