Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,687.42 / $3,144.89 / $14,482.00	Facility		$1,687.42	$3,144.89	$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 $3,942.40 / $4,607.01 / $7,067.27	Facility		$3,942.40	$4,607.01	$7,067.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $178.17 / $178.17 / $178.17	Facility	AS	$178.17	$178.17	$178.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,260.00 / $1,789.09 / $3,359.58	Facility		$1,260.00	$1,789.09	$3,359.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,320.69 / $2,037.00 / $4,821.00	Facility		$1,320.69	$2,037.00	$4,821.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $726.79 / $726.79 / $726.79	Facility	AS	$726.79	$726.79	$726.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,230.80 / $1,721.75 / $3,280.00	Facility		$1,230.80	$1,721.75	$3,280.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,880.60 / $3,841.76 / $6,360.39	Professional		$2,880.60	$3,841.76	$6,360.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,814.27 / $12,879.79 / $12,879.79	Facility		$1,814.27	$12,879.79	$12,879.79
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $178.17 / $726.79 / $726.79	Facility	AS	$178.17	$726.79	$726.79
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