Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,682.57 / $3,122.89 / $14,482.00	Facility		$1,682.57	$3,122.89	$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 $3,909.06 / $4,568.04 / $7,007.50	Facility		$3,909.06	$4,568.04	$7,007.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $176.72 / $176.72 / $176.72	Facility	AS	$176.72	$176.72	$176.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,440.48 / $1,873.73 / $3,549.00	Facility		$1,440.48	$1,873.73	$3,549.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,454.24 / $2,114.98 / $5,861.22	Facility		$1,454.24	$2,114.98	$5,861.22
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $720.28 / $720.28 / $720.28	Facility	AS	$720.28	$720.28	$720.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,440.48 / $1,900.71 / $3,549.00	Facility		$1,440.48	$1,900.71	$3,549.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,854.80 / $3,807.35 / $6,321.27	Professional		$2,854.80	$3,807.35	$6,321.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,806.52 / $14,610.80 / $14,610.80	Facility		$1,806.52	$14,610.80	$14,610.80
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $176.72 / $720.28 / $720.28	Facility	AS	$176.72	$720.28	$720.28
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