Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,651.91 / $3,076.22 / $14,482.00	Facility		$1,651.91	$3,076.22	$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 $3,852.29 / $4,501.70 / $6,905.73	Facility		$3,852.29	$4,501.70	$6,905.73
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $175.15 / $175.15 / $175.15	Facility	AS	$175.15	$175.15	$175.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,499.61 / $1,932.73 / $3,292.93	Facility		$1,499.61	$1,932.73	$3,292.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,499.61 / $2,102.98 / $4,821.00	Facility		$1,499.61	$2,102.98	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $714.67 / $714.67 / $714.67	Facility	AS	$714.67	$714.67	$714.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,464.08 / $1,929.39 / $3,238.52	Facility		$1,464.08	$1,929.39	$3,238.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,832.60 / $3,777.74 / $6,221.06	Professional		$2,832.60	$3,777.74	$6,221.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,784.51 / $16,251.21 / $16,251.21	Facility		$1,784.51	$16,251.21	$16,251.21
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $175.15 / $714.67 / $714.67	Facility	AS	$175.15	$714.67	$714.67
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