Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.21 / $4,183.10 / $14,482.00	Facility		$1,259.21	$4,183.10	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,224.00 / $11,448.40	Facility		$5,169.00	$8,224.00	$11,448.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,945.76 / $3,442.36 / $5,280.66	Facility		$2,945.76	$3,442.36	$5,280.66
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $131.97 / $131.97 / $131.97	Facility	AS	$131.97	$131.97	$131.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $1,396.76 / $2,509.88	Facility		$1,106.00	$1,396.76	$2,509.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,117.86 / $1,568.67 / $9,837.00	Facility		$1,117.86	$1,568.67	$9,837.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $539.07 / $539.07 / $539.07	Facility	AS	$539.07	$539.07	$539.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,103.73 / $1,396.76 / $2,429.75	Facility		$1,103.73	$1,396.76	$2,429.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,136.60 / $2,849.51 / $4,745.52	Professional		$2,136.60	$2,849.51	$4,745.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,342.74 / $10,930.40 / $10,930.40	Facility		$1,342.74	$10,930.40	$10,930.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $131.97 / $539.07 / $539.07	Facility	AS	$131.97	$539.07	$539.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,953.00 / $12,062.00	Facility		$4,240.00	$9,953.00	$12,062.00