Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $162.18 / $14,454.40	Facility		$87.10	$162.18	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,964.78 / $14,125.38	Facility		$5,623.41	$10,964.78	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $239.88 / $380.19	Facility		$204.17	$239.88	$380.19
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	AS	$14.13	$14.13	$14.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $8,128.31	Facility		$75.86	$112.20	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $114.82 / $1,659.59	Facility		$79.43	$114.82	$1,659.59
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $38.02 / $38.02 / $38.02	Facility	AS	$38.02	$38.02	$38.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $275.42	Professional		$95.50	$177.83	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $4,265.80 / $4,265.80	Facility		$204.17	$4,265.80	$4,265.80
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $20.42 / $20.42 / $51.29	Facility	AS	$20.42	$20.42	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Facility		$1,023.29	$1,584.89	$2,137.96