Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.95 / $2,502.88 / $14,482.00	Facility		$754.95	$2,502.88	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $8,918.76	Facility		$2,740.00	$4,931.00	$8,918.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.50 / $2,071.31 / $3,177.44	Facility		$1,772.50	$2,071.31	$3,177.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $77.44 / $77.44 / $77.44	Facility	AS	$77.44	$77.44	$77.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $577.98 / $777.39 / $1,416.00	Facility		$577.98	$777.39	$1,416.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $626.47 / $913.41 / $8,602.00	Facility		$626.47	$913.41	$8,602.00
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 $579.50 / $786.48 / $1,416.00	Facility		$579.50	$786.48	$1,416.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,251.00 / $1,668.42 / $2,846.04	Professional		$1,251.00	$1,668.42	$2,846.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $786.77 / $7,929.30 / $7,929.30	Facility		$786.77	$7,929.30	$7,929.30
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $77.44 / $751.59 / $751.59	Facility	AS	$77.44	$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