Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,698.24 / $14,454.40	Facility		$912.01	$1,698.24	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $7,413.10	Facility		$3,162.28	$4,786.30	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,981.07	Facility		$2,137.96	$2,511.89	$3,981.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	AS	$144.54	$144.54	$144.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $8,128.31	Facility		$776.25	$1,071.52	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $7,244.36	Facility		$812.83	$1,122.02	$7,244.36
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	AS	$389.05	$389.05	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $2,951.21	Professional		$1,047.13	$1,905.46	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,762.47 / $7,762.47	Facility		$2,089.30	$7,762.47	$7,762.47
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $208.93 / $208.93 / $776.25	Facility	AS	$208.93	$208.93	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11