Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.61 / $3,579.45 / $18,334.70	Facility		$1,079.61	$3,579.45	$18,334.70
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 $2,521.33 / $2,946.38 / $4,519.82	Facility		$2,521.33	$2,946.38	$4,519.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.52 / $112.52 / $112.52	Facility	AS	$112.52	$112.52	$112.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $971.13 / $1,279.35 / $2,197.12	Facility		$971.13	$1,279.35	$2,197.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $971.13 / $1,489.50 / $4,821.00	Facility		$971.13	$1,489.50	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $458.54 / $458.54 / $458.54	Facility	AS	$458.54	$458.54	$458.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $971.13 / $1,263.16 / $2,178.62	Facility		$971.13	$1,263.16	$2,178.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,817.40 / $2,423.81 / $4,065.70	Professional		$1,817.40	$2,423.81	$4,065.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,147.16 / $9,334.71 / $9,334.71	Facility		$1,147.16	$9,334.71	$9,334.71
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $112.52 / $458.54 / $458.54	Facility	AS	$112.52	$458.54	$458.54
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