Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,466.16 / $4,863.05 / $14,482.00	Facility		$1,466.16	$4,863.05	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,003.00 / $19,370.00	Facility		$7,084.00	$12,003.00	$19,370.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,417.95 / $3,994.14 / $6,127.12	Facility		$3,417.95	$3,994.14	$6,127.12
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $154.72 / $154.72 / $154.72	Facility	AS	$154.72	$154.72	$154.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $1,715.41 / $2,926.42	Facility		$1,334.00	$1,715.41	$2,926.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,334.00 / $1,898.69 / $12,202.00	Facility		$1,334.00	$1,898.69	$12,202.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $631.41 / $631.41 / $631.41	Facility	AS	$631.41	$631.41	$631.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,329.54 / $1,715.41 / $2,854.40	Facility		$1,329.54	$1,715.41	$2,854.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,502.60 / $3,337.63 / $5,518.31	Professional		$2,502.60	$3,337.63	$5,518.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,576.70 / $12,778.64 / $12,778.64	Facility		$1,576.70	$12,778.64	$12,778.64
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $154.72 / $631.41 / $631.41	Facility	AS	$154.72	$631.41	$631.41
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00