Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.69 / $2,378.29 / $14,482.00	Facility		$1,274.69	$2,378.29	$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 $2,982.71 / $3,485.53 / $5,346.89	Facility		$2,982.71	$3,485.53	$5,346.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $134.03 / $134.03 / $134.03	Facility	AS	$134.03	$134.03	$134.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,121.68 / $1,426.98 / $2,543.91	Facility		$1,121.68	$1,426.98	$2,543.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,121.68 / $1,588.30 / $4,821.00	Facility		$1,121.68	$1,588.30	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $546.94 / $546.94 / $546.94	Facility	AS	$546.94	$546.94	$546.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,084.47 / $1,426.98 / $2,474.04	Facility		$1,084.47	$1,426.98	$2,474.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,167.80 / $2,891.12 / $4,807.64	Professional		$2,167.80	$2,891.12	$4,807.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,363.66 / $11,091.04 / $11,091.04	Facility		$1,363.66	$11,091.04	$11,091.04
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $134.03 / $546.94 / $546.94	Facility	AS	$134.03	$546.94	$546.94
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