Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,104.15 / $6,461.00 / $14,482.00	Facility		$2,104.15	$6,461.00	$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 $4,912.01 / $5,740.07 / $8,805.41	Facility		$4,912.01	$5,740.07	$8,805.41
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $216.98 / $216.98 / $216.98	Facility	AS	$216.98	$216.98	$216.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,818.01 / $2,362.11 / $3,988.00	Facility		$1,818.01	$2,362.11	$3,988.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,795.61 / $2,645.16 / $5,887.00	Facility		$1,795.61	$2,645.16	$5,887.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $882.55 / $882.55 / $882.55	Facility	AS	$882.55	$882.55	$882.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,818.01 / $2,366.80 / $3,988.00	Facility		$1,818.01	$2,366.80	$3,988.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,498.00 / $4,665.17 / $7,907.96	Professional		$3,498.00	$4,665.17	$7,907.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,209.56 / $18,054.56 / $18,054.56	Facility		$2,209.56	$18,054.56	$18,054.56
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $216.98 / $882.55 / $882.55	Facility	AS	$216.98	$882.55	$882.55
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