Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,461.57 / $4,576.43 / $14,482.00	Facility		$2,461.57	$4,576.43	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,737.43 / $6,704.64 / $10,285.09	Facility		$5,737.43	$6,704.64	$10,285.09
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,628.99 / $1,628.99 / $1,628.99	Facility	62	$1,628.99	$1,628.99	$1,628.99
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $260.64 / $260.64 / $260.64	Facility	AS	$260.64	$260.64	$260.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,079.29 / $2,771.20 / $4,909.26	Facility		$2,079.29	$2,771.20	$4,909.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,141.88 / $2,880.04 / $6,536.94	Facility		$2,141.88	$2,880.04	$6,536.94
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $6,641.86 / $6,641.86 / $6,641.86	Facility	62	$6,641.86	$6,641.86	$6,641.86
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,062.70 / $1,062.70 / $1,062.70	Facility	AS	$1,062.70	$1,062.70	$1,062.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,044.99 / $2,771.20 / $4,828.28	Facility		$2,044.99	$2,771.20	$4,828.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,212.00 / $5,617.40 / $9,262.23	Professional		$4,212.00	$5,617.40	$9,262.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,654.64 / $37,624.58 / $37,624.58	Facility		$2,654.64	$37,624.58	$37,624.58
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $1,628.99 / $6,641.86 / $6,641.86	Facility	62	$1,628.99	$6,641.86	$6,641.86
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $260.64 / $1,062.70 / $1,062.70	Facility	AS	$260.64	$1,062.70	$1,062.70
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