Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.15 / $233.55 / $14,482.00	Facility		$126.15	$233.55	$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 $291.06 / $340.13 / $521.77	Facility		$291.06	$340.13	$521.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	AS	$13.27	$13.27	$13.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.67 / $145.32 / $336.00	Facility		$109.67	$145.32	$336.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.85 / $160.24 / $4,602.00	Facility		$109.85	$160.24	$4,602.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $54.19 / $54.19 / $54.19	Facility	AS	$54.19	$54.19	$54.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $109.67 / $145.32 / $336.00	Facility		$109.67	$145.32	$336.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.80 / $286.47 / $472.50	Professional		$214.80	$286.47	$472.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $136.38 / $1,300.00 / $1,300.00	Facility		$136.38	$1,300.00	$1,300.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $54.19 / $54.19	Facility	AS	$13.27	$54.19	$54.19
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