Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.97 / $2,179.17 / $14,482.00	Facility		$1,171.97	$2,179.17	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,740.31 / $3,202.26 / $4,912.35	Facility		$2,740.31	$3,202.26	$4,912.35
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.64 / $120.64 / $120.64	Facility	AS	$120.64	$120.64	$120.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,034.90 / $1,355.93 / $2,126.94	Facility		$1,034.90	$1,355.93	$2,126.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,034.90 / $1,470.07 / $4,821.00	Facility		$1,034.90	$1,470.07	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $492.14 / $492.14 / $492.14	Facility	AS	$492.14	$492.14	$492.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,019.63 / $1,331.52 / $2,126.94	Facility		$1,019.63	$1,331.52	$2,126.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,950.60 / $2,601.44 / $4,411.24	Professional		$1,950.60	$2,601.44	$4,411.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,229.08 / $7,537.44 / $7,537.44	Facility		$1,229.08	$7,537.44	$7,537.44
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $120.64 / $492.14 / $492.14	Facility	AS	$120.64	$492.14	$492.14
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