Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.96 / $4,288.13 / $14,482.00	Facility		$1,296.96	$4,288.13	$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 $3,034.07 / $3,545.55 / $5,438.97	Facility		$3,034.07	$3,545.55	$5,438.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $135.26 / $135.26 / $135.26	Facility	AS	$135.26	$135.26	$135.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,166.25 / $1,506.55 / $2,630.93	Facility		$1,166.25	$1,506.55	$2,630.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.23 / $1,723.06 / $5,887.00	Facility		$1,148.23	$1,723.06	$5,887.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $550.88 / $550.88 / $550.88	Facility	AS	$550.88	$550.88	$550.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,135.08 / $1,497.10 / $2,673.40	Facility		$1,135.08	$1,497.10	$2,673.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,183.40 / $2,911.93 / $4,877.78	Professional		$2,183.40	$2,911.93	$4,877.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,372.04 / $11,212.80 / $11,212.80	Facility		$1,372.04	$11,212.80	$11,212.80
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $135.26 / $550.88 / $550.88	Facility	AS	$135.26	$550.88	$550.88
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