Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.32 / $649.58 / $40,977.10	Facility		$196.32	$649.58	$40,977.10
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 $454.16 / $530.73 / $814.15	Facility		$454.16	$530.73	$814.15
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.54 / $20.54 / $20.54	Facility	AS	$20.54	$20.54	$20.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $178.19 / $229.58 / $404.98	Facility		$178.19	$229.58	$404.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.36 / $274.29 / $4,821.00	Facility		$174.36	$274.29	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $83.87 / $83.87 / $83.87	Facility	AS	$83.87	$83.87	$83.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $174.36 / $228.85 / $404.98	Facility		$174.36	$228.85	$404.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $332.40 / $443.31 / $737.54	Professional		$332.40	$443.31	$737.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $211.25 / $838.66 / $838.66	Facility		$211.25	$838.66	$838.66
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $20.54 / $83.87 / $83.87	Facility	AS	$20.54	$83.87	$83.87
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