Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,671.68 / $11,860.70 / $18,724.80	Facility		$2,671.68	$11,860.70	$18,724.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,791.00 / $18,603.00	Facility		$7,084.00	$11,791.00	$18,603.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $575.28 / $719.10 / $881.03	Facility		$575.28	$719.10	$881.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,504.87 / $1,758.56 / $2,697.68	Facility		$1,504.87	$1,758.56	$2,697.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $67.78 / $67.78	Facility	AS	$67.78	$67.78	$67.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $579.80 / $774.33 / $1,732.40	Facility		$579.80	$774.33	$1,732.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.29 / $988.83 / $13,486.75	Facility		$584.29	$988.83	$13,486.75
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,279.44 / $1,279.44 / $1,279.44	Facility	AS	$1,279.44	$1,279.44	$1,279.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $579.80 / $774.33 / $1,732.40	Facility		$579.80	$774.33	$1,732.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,097.40 / $1,463.57 / $2,420.40	Professional		$1,097.40	$1,463.57	$2,420.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $686.68 / $13,486.75 / $13,486.75	Facility		$686.68	$13,486.75	$13,486.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $1,279.44 / $1,279.44	Facility	AS	$67.78	$1,279.44	$1,279.44
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,903.00	Facility		$8,627.00	$12,373.00	$15,903.00