Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,183.14 / $11,139.00 / $23,434.87	Facility		$1,183.14	$11,139.00	$23,434.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,791.00 / $18,603.00	Facility		$7,084.00	$11,791.00	$18,603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,770.04 / $3,237.01 / $4,965.66	Facility		$2,770.04	$3,237.01	$4,965.66
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.45 / $125.45 / $125.45	Facility	AS	$125.45	$125.45	$125.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,033.09 / $1,374.77 / $2,730.00	Facility		$1,033.09	$1,374.77	$2,730.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,033.09 / $1,645.28 / $13,982.00	Facility		$1,033.09	$1,645.28	$13,982.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,632.21 / $2,632.21 / $2,632.21	Facility	AS	$2,632.21	$2,632.21	$2,632.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,014.35 / $1,374.77 / $2,730.00	Facility		$1,014.35	$1,374.77	$2,730.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,032.20 / $2,710.28 / $4,462.02	Professional		$2,032.20	$2,710.28	$4,462.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,273.81 / $27,770.10 / $27,770.10	Facility		$1,273.81	$27,770.10	$27,770.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $125.45 / $2,632.21 / $2,632.21	Facility	AS	$125.45	$2,632.21	$2,632.21
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,903.00	Facility		$8,627.00	$12,373.00	$15,903.00