Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.71 / $2,959.30 / $14,482.00	Facility		$890.71	$2,959.30	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,057.00 / $7,773.00 / $12,198.56	Facility		$5,057.00	$7,773.00	$12,198.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,083.39 / $2,434.61 / $3,734.75	Facility		$2,083.39	$2,434.61	$3,734.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.32 / $94.32 / $94.32	Facility	AS	$94.32	$94.32	$94.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $807.60 / $1,031.19 / $1,777.09	Facility		$807.60	$1,031.19	$1,777.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $807.10 / $1,132.42 / $4,377.80	Facility		$807.10	$1,132.42	$4,377.80
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $384.81 / $384.81 / $384.81	Facility	AS	$384.81	$384.81	$384.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $788.72 / $1,020.50 / $1,736.46	Facility		$788.72	$1,020.50	$1,736.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,525.20 / $2,034.11 / $3,358.82	Professional		$1,525.20	$2,034.11	$3,358.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $958.75 / $7,785.76 / $7,785.76	Facility		$958.75	$7,785.76	$7,785.76
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $94.32 / $384.81 / $384.81	Facility	AS	$94.32	$384.81	$384.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00