Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.10 / $1,894.00 / $14,482.00	Facility		$675.10	$1,894.00	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,597.69 / $1,867.02 / $2,864.06	Facility		$1,597.69	$1,867.02	$2,864.06
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.31 / $69.31 / $69.31	Facility	AS	$69.31	$69.31	$69.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $730.26 / $1,231.08	Facility		$585.00	$730.26	$1,231.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $836.16 / $7,318.00	Facility		$585.00	$836.16	$7,318.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $751.59 / $751.59 / $751.59	Facility	AS	$751.59	$751.59	$751.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $730.26 / $1,231.08	Facility		$585.00	$730.26	$1,231.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.59 / $1,497.17 / $2,543.35	Professional		$1,122.59	$1,497.17	$2,543.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $695.98 / $7,929.30 / $7,929.30	Facility		$695.98	$7,929.30	$7,929.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $69.31 / $751.59 / $751.59	Facility	AS	$69.31	$751.59	$751.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,754.00 / $8,384.00	Facility		$4,103.00	$6,754.00	$8,384.00