Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.92 / $2,981.88 / $14,482.00	Facility		$898.92	$2,981.88	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,118.53 / $2,475.67 / $3,797.75	Facility		$2,118.53	$2,475.67	$3,797.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.27 / $92.27 / $92.27	Facility	AS	$92.27	$92.27	$92.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $781.98 / $974.16 / $1,644.90	Facility		$781.98	$974.16	$1,644.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $781.98 / $1,121.28 / $10,568.00	Facility		$781.98	$1,121.28	$10,568.00
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 $781.98 / $974.16 / $1,644.90	Facility		$781.98	$974.16	$1,644.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,492.20 / $1,990.10 / $3,386.45	Professional		$1,492.20	$1,990.10	$3,386.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $929.72 / $7,929.30 / $7,929.30	Facility		$929.72	$7,929.30	$7,929.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $92.27 / $751.59 / $751.59	Facility	AS	$92.27	$751.59	$751.59
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00