Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.96 / $3,242.57 / $14,482.00	Facility		$971.96	$3,242.57	$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 $2,269.92 / $2,652.58 / $4,069.13	Facility		$2,269.92	$2,652.58	$4,069.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.94 / $102.94 / $102.94	Facility	AS	$102.94	$102.94	$102.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $889.48 / $1,130.40 / $1,972.80	Facility		$889.48	$1,130.40	$1,972.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $882.75 / $1,247.21 / $8,806.00	Facility		$882.75	$1,247.21	$8,806.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $421.75 / $421.75 / $421.75	Facility	AS	$421.75	$421.75	$421.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $864.49 / $1,130.40 / $1,914.61	Facility		$864.49	$1,130.40	$1,914.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,671.60 / $2,229.36 / $3,668.54	Professional		$1,671.60	$2,229.36	$3,668.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,051.52 / $7,437.36 / $7,437.36	Facility		$1,051.52	$7,437.36	$7,437.36
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $102.94 / $421.75 / $421.75	Facility	AS	$102.94	$421.75	$421.75
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00