Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,228.44 / $4,133.45 / $14,482.00	Facility		$2,228.44	$4,133.45	$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 $5,194.06 / $6,069.66 / $9,311.02	Facility		$5,194.06	$6,069.66	$9,311.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $233.27 / $233.27 / $233.27	Facility	AS	$233.27	$233.27	$233.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,967.00 / $2,424.96 / $4,476.42	Facility		$1,967.00	$2,424.96	$4,476.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.58 / $2,609.06 / $5,728.00	Facility		$1,966.58	$2,609.06	$5,728.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $950.53 / $950.53 / $950.53	Facility	AS	$950.53	$950.53	$950.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,959.35 / $2,424.96 / $4,350.82	Facility		$1,959.35	$2,424.96	$4,350.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,767.40 / $5,024.46 / $8,376.10	Professional		$3,767.40	$5,024.46	$8,376.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,376.52 / $19,310.88 / $19,310.88	Facility		$2,376.52	$19,310.88	$19,310.88
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $233.27 / $950.53 / $950.53	Facility	AS	$233.27	$950.53	$950.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00