Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.78 / $3,883.28 / $14,482.00	Facility		$1,174.78	$3,883.28	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,126.00 / $22,370.00	Facility		$7,084.00	$12,126.00	$22,370.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,750.22 / $3,213.85 / $4,930.12	Facility		$2,750.22	$3,213.85	$4,930.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.47 / $121.47 / $121.47	Facility	AS	$121.47	$121.47	$121.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,018.90 / $1,319.77 / $2,241.00	Facility		$1,018.90	$1,319.77	$2,241.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,018.90 / $1,484.82 / $5,887.00	Facility		$1,018.90	$1,484.82	$5,887.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $494.71 / $494.71 / $494.71	Facility	AS	$494.71	$494.71	$494.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,018.90 / $1,320.05 / $2,241.00	Facility		$1,018.90	$1,320.05	$2,241.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,960.80 / $2,615.05 / $4,416.85	Professional		$1,960.80	$2,615.05	$4,416.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,231.67 / $10,098.16 / $10,098.16	Facility		$1,231.67	$10,098.16	$10,098.16
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $121.47 / $494.71 / $494.71	Facility	AS	$121.47	$494.71	$494.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,480.00 / $7,565.00 / $19,003.00	Facility		$2,480.00	$7,565.00	$19,003.00