Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,076.04 / $2,004.01 / $14,482.00	Facility		$1,076.04	$2,004.01	$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 $2,520.42 / $2,945.32 / $4,518.20	Facility		$2,520.42	$2,945.32	$4,518.20
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.55 / $111.55 / $111.55	Facility	AS	$111.55	$111.55	$111.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.71 / $1,222.23 / $2,060.50	Facility		$954.71	$1,222.23	$2,060.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.71 / $1,353.59 / $4,821.00	Facility		$954.71	$1,353.59	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $453.09 / $453.09 / $453.09	Facility	AS	$453.09	$453.09	$453.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $954.71 / $1,222.23 / $2,060.50	Facility		$954.71	$1,222.23	$2,060.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,795.80 / $2,395.00 / $4,064.41	Professional		$1,795.80	$2,395.00	$4,064.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,138.50 / $8,121.05 / $8,121.05	Facility		$1,138.50	$8,121.05	$8,121.05
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $111.55 / $453.09 / $453.09	Facility	AS	$111.55	$453.09	$453.09
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