Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.56 / $2,747.74 / $14,482.00	Facility		$1,479.56	$2,747.74	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $13,630.00	Facility		$5,060.00	$8,006.00	$13,630.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,435.07 / $4,014.15 / $6,157.81	Facility		$3,435.07	$4,014.15	$6,157.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $156.62 / $156.62 / $156.62	Facility	AS	$156.62	$156.62	$156.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,248.61 / $1,597.36 / $2,928.35	Facility		$1,248.61	$1,597.36	$2,928.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,254.65 / $1,848.00 / $7,318.00	Facility		$1,254.65	$1,848.00	$7,318.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $638.23 / $638.23 / $638.23	Facility	AS	$638.23	$638.23	$638.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,221.22 / $1,606.00 / $2,924.27	Facility		$1,221.22	$1,606.00	$2,924.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,529.60 / $3,373.64 / $5,560.14	Professional		$2,529.60	$3,373.64	$5,560.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,601.71 / $12,915.92 / $12,915.92	Facility		$1,601.71	$12,915.92	$12,915.92
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $156.62 / $638.23 / $638.23	Facility	AS	$156.62	$638.23	$638.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00