Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.60 / $3,958.75 / $14,482.00	Facility		$1,192.60	$3,958.75	$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 $2,783.56 / $3,252.81 / $4,989.89	Facility		$2,783.56	$3,252.81	$4,989.89
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.27 / $126.27 / $126.27	Facility	AS	$126.27	$126.27	$126.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,063.25 / $1,374.00 / $2,330.00	Facility		$1,063.25	$1,374.00	$2,330.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,057.11 / $1,516.64 / $4,821.00	Facility		$1,057.11	$1,516.64	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $515.76 / $515.76 / $515.76	Facility	AS	$515.76	$515.76	$515.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,039.29 / $1,347.55 / $2,330.00	Facility		$1,039.29	$1,347.55	$2,330.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,044.20 / $2,726.28 / $4,488.85	Professional		$2,044.20	$2,726.28	$4,488.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,284.00 / $10,417.04 / $10,417.04	Facility		$1,284.00	$10,417.04	$10,417.04
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $126.27 / $515.76 / $515.76	Facility	AS	$126.27	$515.76	$515.76
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