Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.47 / $1,717.09 / $14,482.00	Facility		$922.47	$1,717.09	$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 $2,155.48 / $2,518.85 / $3,863.98	Facility		$2,155.48	$2,518.85	$3,863.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $96.41 / $96.41 / $96.41	Facility	AS	$96.41	$96.41	$96.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $833.28 / $1,039.94 / $1,841.66	Facility		$833.28	$1,039.94	$1,841.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $832.10 / $1,151.02 / $4,821.00	Facility		$832.10	$1,151.02	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $393.29 / $393.29 / $393.29	Facility	AS	$393.29	$393.29	$393.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $807.07 / $1,039.94 / $1,782.47	Facility		$807.07	$1,039.94	$1,782.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,558.80 / $2,078.92 / $3,473.14	Professional		$1,558.80	$2,078.92	$3,473.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $981.24 / $7,990.00 / $7,990.00	Facility		$981.24	$7,990.00	$7,990.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $96.41 / $393.29 / $393.29	Facility	AS	$96.41	$393.29	$393.29
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