Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,755.81 / $5,812.25 / $14,482.00	Facility		$1,755.81	$5,812.25	$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 $4,087.48 / $4,776.54 / $7,327.34	Facility		$4,087.48	$4,776.54	$7,327.34
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $184.06 / $184.06 / $184.06	Facility	AS	$184.06	$184.06	$184.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,550.16 / $1,990.40 / $3,404.00	Facility		$1,550.16	$1,990.40	$3,404.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,549.59 / $2,207.67 / $5,887.00	Facility		$1,549.59	$2,207.67	$5,887.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $750.25 / $750.25 / $750.25	Facility	AS	$750.25	$750.25	$750.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,550.16 / $1,996.50 / $3,404.00	Facility		$1,550.16	$1,996.50	$3,404.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,973.60 / $3,965.79 / $6,601.44	Professional		$2,973.60	$3,965.79	$6,601.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,879.13 / $15,231.52 / $15,231.52	Facility		$1,879.13	$15,231.52	$15,231.52
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $184.06 / $750.25 / $750.25	Facility	AS	$184.06	$750.25	$750.25
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