Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,899.04 / $3,524.51 / $14,482.00	Facility		$1,899.04	$3,524.51	$14,482.00
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 $4,436.21 / $5,184.07 / $7,952.49	Facility		$4,436.21	$5,184.07	$7,952.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,579.94 / $2,042.11 / $3,437.98	Facility		$1,579.94	$2,042.11	$3,437.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,618.00 / $2,379.62 / $5,120.82	Facility		$1,618.00	$2,379.62	$5,120.82
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $799.14 / $799.14 / $799.14	Facility	AS	$799.14	$799.14	$799.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,566.45 / $2,042.11 / $3,437.98	Facility		$1,566.45	$2,042.11	$3,437.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,167.40 / $4,224.26 / $7,145.81	Professional		$3,167.40	$4,224.26	$7,145.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,000.53 / $16,328.64 / $16,328.64	Facility		$2,000.53	$16,328.64	$16,328.64
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $799.14 / $799.14	Facility	AS	$196.33	$799.14	$799.14
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