Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.90 / $4,702.21 / $30,619.82	Facility		$123.90	$4,702.21	$30,619.82
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 $3,308.01 / $3,865.67 / $5,930.04	Facility		$3,308.01	$3,865.67	$5,930.04
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $148.22 / $148.22 / $148.22	Facility	AS	$148.22	$148.22	$148.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,284.35 / $1,724.82 / $2,835.79	Facility		$1,284.35	$1,724.82	$2,835.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,283.88 / $1,878.32 / $4,821.00	Facility		$1,283.88	$1,878.32	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $604.77 / $604.77 / $604.77	Facility	AS	$604.77	$604.77	$604.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,284.35 / $1,714.27 / $2,753.05	Facility		$1,284.35	$1,714.27	$2,753.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,397.00 / $3,196.80 / $5,338.40	Professional		$2,397.00	$3,196.80	$5,338.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,512.50 / $12,283.84 / $12,283.84	Facility		$1,512.50	$12,283.84	$12,283.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $148.22 / $604.77 / $604.77	Facility	AS	$148.22	$604.77	$604.77
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