Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,100.63 / $3,894.86 / $14,482.00	Facility		$2,100.63	$3,894.86	$14,482.00
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 $4,894.88 / $5,720.06 / $8,774.71	Facility		$4,894.88	$5,720.06	$8,774.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.55 / $218.55 / $218.55	Facility	AS	$218.55	$218.55	$218.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,765.22 / $2,268.82 / $3,957.11	Facility		$1,765.22	$2,268.82	$3,957.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,785.54 / $2,499.80 / $5,728.00	Facility		$1,785.54	$2,499.80	$5,728.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $889.06 / $889.06 / $889.06	Facility	AS	$889.06	$889.06	$889.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,731.05 / $2,283.69 / $3,957.11	Facility		$1,731.05	$2,283.69	$3,957.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,523.80 / $4,699.57 / $7,896.84	Professional		$3,523.80	$4,699.57	$7,896.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,230.33 / $18,131.52 / $18,131.52	Facility		$2,230.33	$18,131.52	$18,131.52
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $218.55 / $889.06 / $889.06	Facility	AS	$218.55	$889.06	$889.06
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