Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,275.34 / $6,087.51 / $14,482.00	Facility		$3,275.34	$6,087.51	$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 $7,624.38 / $8,909.69 / $13,667.69	Facility		$7,624.38	$8,909.69	$13,667.69
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,171.67 / $2,171.67 / $2,171.67	Facility	62	$2,171.67	$2,171.67	$2,171.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $347.47 / $347.47 / $347.47	Facility	AS	$347.47	$347.47	$347.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,975.43 / $3,787.78 / $6,463.57	Facility		$2,975.43	$3,787.78	$6,463.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,854.33 / $3,850.00 / $7,956.70	Facility		$2,854.33	$3,850.00	$7,956.70
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $8,852.98 / $8,852.98 / $8,852.98	Facility	62	$8,852.98	$8,852.98	$8,852.98
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,416.48 / $1,416.48 / $1,416.48	Facility	AS	$1,416.48	$1,416.48	$1,416.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,912.80 / $3,759.12 / $6,463.57	Facility		$2,912.80	$3,759.12	$6,463.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,614.20 / $7,487.47 / $12,320.85	Professional		$5,614.20	$7,487.47	$12,320.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,543.61 / $32,221.71 / $32,221.71	Facility		$3,543.61	$32,221.71	$32,221.71
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,171.67 / $8,852.98 / $8,852.98	Facility	62	$2,171.67	$8,852.98	$8,852.98
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $347.47 / $1,416.48 / $1,416.48	Facility	AS	$347.47	$1,416.48	$1,416.48
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