Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,926.94 / $6,376.58 / $30,021.10	Facility		$1,926.94	$6,376.58	$30,021.10
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 $4,484.87 / $5,240.93 / $8,039.72	Facility		$4,484.87	$5,240.93	$8,039.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $200.73 / $200.73 / $200.73	Facility	AS	$200.73	$200.73	$200.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,620.13 / $2,174.42 / $3,871.17	Facility		$1,620.13	$2,174.42	$3,871.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,654.14 / $2,418.71 / $5,228.84	Facility		$1,654.14	$2,418.71	$5,228.84
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $817.91 / $817.91 / $817.91	Facility	AS	$817.91	$817.91	$817.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,620.13 / $2,174.42 / $3,861.08	Facility		$1,620.13	$2,174.42	$3,861.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,241.80 / $4,323.47 / $7,245.00	Professional		$3,241.80	$4,323.47	$7,245.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,052.10 / $16,647.28 / $16,647.28	Facility		$2,052.10	$16,647.28	$16,647.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $200.73 / $817.91 / $817.91	Facility	AS	$200.73	$817.91	$817.91
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