Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.93 / $2,073.13 / $17,823.00	Facility		$1,114.93	$2,073.13	$17,823.00
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 $2,597.03 / $3,034.83 / $4,655.51	Facility		$2,597.03	$3,034.83	$4,655.51
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $117.55 / $117.55 / $117.55	Facility	AS	$117.55	$117.55	$117.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,012.24 / $1,297.19 / $2,394.00	Facility		$1,012.24	$1,297.19	$2,394.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,011.59 / $1,413.89 / $4,821.00	Facility		$1,011.59	$1,413.89	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $479.42 / $479.42 / $479.42	Facility	AS	$479.42	$479.42	$479.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,011.59 / $1,289.95 / $2,394.00	Facility		$1,011.59	$1,289.95	$2,394.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,900.20 / $2,534.23 / $4,195.91	Professional		$1,900.20	$2,534.23	$4,195.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,199.82 / $9,711.68 / $9,711.68	Facility		$1,199.82	$9,711.68	$9,711.68
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $117.55 / $479.42 / $479.42	Facility	AS	$117.55	$479.42	$479.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00