Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,845.49 / $6,100.09 / $34,673.31	Facility		$1,845.49	$6,100.09	$34,673.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,603.00	Facility		$7,084.00	$11,523.00	$18,603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,297.43 / $5,021.89 / $7,703.72	Facility		$4,297.43	$5,021.89	$7,703.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $193.42 / $193.42 / $193.42	Facility	AS	$193.42	$193.42	$193.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,546.08 / $2,009.63 / $3,726.96	Facility		$1,546.08	$2,009.63	$3,726.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,589.53 / $2,317.69 / $5,014.10	Facility		$1,589.53	$2,317.69	$5,014.10
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $787.03 / $787.03 / $787.03	Facility	AS	$787.03	$787.03	$787.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,546.08 / $2,009.63 / $3,709.32	Facility		$1,546.08	$2,009.63	$3,709.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,119.40 / $4,160.24 / $6,936.88	Professional		$3,119.40	$4,160.24	$6,936.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,973.23 / $16,005.52 / $16,005.52	Facility		$1,973.23	$16,005.52	$16,005.52
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $193.42 / $787.03 / $787.03	Facility	AS	$193.42	$787.03	$787.03
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