Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.25 / $1,686.19 / $14,482.00	Facility		$904.25	$1,686.19	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,370.00 / $6,491.46	Facility		$2,740.00	$4,370.00	$6,491.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,125.73 / $2,484.10 / $3,810.67	Facility		$2,125.73	$2,484.10	$3,810.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.41 / $95.41 / $95.41	Facility	AS	$95.41	$95.41	$95.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $819.10 / $1,038.48 / $1,790.81	Facility		$819.10	$1,038.48	$1,790.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $815.03 / $1,144.00 / $7,318.00	Facility		$815.03	$1,144.00	$7,318.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $388.90 / $388.90 / $388.90	Facility	AS	$388.90	$388.90	$388.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $795.93 / $1,020.50 / $1,755.00	Facility		$795.93	$1,020.50	$1,755.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,541.40 / $2,055.71 / $3,413.15	Professional		$1,541.40	$2,055.71	$3,413.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $964.50 / $7,886.80 / $7,886.80	Facility		$964.50	$7,886.80	$7,886.80
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $95.41 / $388.90 / $388.90	Facility	AS	$95.41	$388.90	$388.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00