Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.82 / $2,061.00 / $14,482.00	Facility		$1,106.82	$2,061.00	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,583.51 / $3,019.04 / $4,631.28	Facility		$2,583.51	$3,019.04	$4,631.28
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $115.95 / $115.95 / $115.95	Facility	AS	$115.95	$115.95	$115.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,002.83 / $1,294.98 / $2,212.85	Facility		$1,002.83	$1,294.98	$2,212.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.84 / $1,475.80 / $4,821.00	Facility		$1,000.84	$1,475.80	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $473.22 / $473.22 / $473.22	Facility	AS	$473.22	$473.22	$473.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,002.83 / $1,294.98 / $2,146.19	Facility		$1,002.83	$1,294.98	$2,146.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,875.60 / $2,501.42 / $4,167.47	Professional		$1,875.60	$2,501.42	$4,167.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,181.39 / $9,601.60 / $9,601.60	Facility		$1,181.39	$9,601.60	$9,601.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $115.95 / $473.22 / $473.22	Facility	AS	$115.95	$473.22	$473.22
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