Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.16 / $4,052.99 / $14,482.00	Facility		$1,223.16	$4,052.99	$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 $2,861.06 / $3,343.37 / $5,128.82	Facility		$2,861.06	$3,343.37	$5,128.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.90 / $125.90 / $125.90	Facility	AS	$125.90	$125.90	$125.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,054.30 / $1,366.09 / $2,311.00	Facility		$1,054.30	$1,366.09	$2,311.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,054.30 / $1,533.63 / $10,568.00	Facility		$1,054.30	$1,533.63	$10,568.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $513.03 / $513.03 / $513.03	Facility	AS	$513.03	$513.03	$513.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,054.30 / $1,366.10 / $2,311.00	Facility		$1,054.30	$1,366.10	$2,311.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,033.40 / $2,711.88 / $4,606.91	Professional		$2,033.40	$2,711.88	$4,606.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,283.26 / $9,179.37 / $9,179.37	Facility		$1,283.26	$9,179.37	$9,179.37
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $125.90 / $513.03 / $513.03	Facility	AS	$125.90	$513.03	$513.03
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