Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,638.59 / $3,050.17 / $14,482.00	Facility		$1,638.59	$3,050.17	$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 $3,808.13 / $4,450.10 / $6,826.57	Facility		$3,808.13	$4,450.10	$6,826.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.20 / $171.20 / $171.20	Facility	AS	$171.20	$171.20	$171.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,488.85 / $1,941.55 / $3,285.59	Facility		$1,488.85	$1,941.55	$3,285.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,484.83 / $2,099.67 / $5,055.51	Facility		$1,484.83	$2,099.67	$5,055.51
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $699.99 / $699.99 / $699.99	Facility	AS	$699.99	$699.99	$699.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,449.35 / $1,917.15 / $3,199.50	Facility		$1,449.35	$1,917.15	$3,199.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,774.40 / $3,700.12 / $6,157.11	Professional		$2,774.40	$3,700.12	$6,157.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,751.21 / $14,181.04 / $14,181.04	Facility		$1,751.21	$14,181.04	$14,181.04
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $171.20 / $699.99 / $699.99	Facility	AS	$171.20	$699.99	$699.99
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