Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.53 / $6,461.00 / $17,139.96	Facility		$972.53	$6,461.00	$17,139.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,791.00 / $18,603.00	Facility		$7,084.00	$11,791.00	$18,603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,272.62 / $2,655.74 / $4,073.98	Facility		$2,272.62	$2,655.74	$4,073.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.97 / $102.97 / $102.97	Facility	AS	$102.97	$102.97	$102.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $881.73 / $1,126.80 / $2,009.42	Facility		$881.73	$1,126.80	$2,009.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $863.48 / $1,359.30 / $13,982.00	Facility		$863.48	$1,359.30	$13,982.00
Medica Facility/Professional Facility Modifier 22 Low / Median / High Price $9,982.96 / $9,982.96 / $9,982.96	Facility	22	$9,982.96	$9,982.96	$9,982.96
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,279.44 / $1,279.44 / $1,279.44	Facility	AS	$1,279.44	$1,279.44	$1,279.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $862.06 / $1,117.02 / $2,016.70	Facility		$862.06	$1,117.02	$2,016.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,668.00 / $2,224.56 / $3,665.87	Professional		$1,668.00	$2,224.56	$3,665.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,047.98 / $13,486.75 / $13,486.75	Facility		$1,047.98	$13,486.75	$13,486.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $102.97 / $1,279.44 / $1,279.44	Facility	AS	$102.97	$1,279.44	$1,279.44
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,903.00	Facility		$8,627.00	$12,373.00	$15,903.00