Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.06 / $6,461.00 / $15,603.56	Facility		$351.06	$6,461.00	$15,603.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,290.00 / $18,458.00	Facility		$7,084.00	$11,290.00	$18,458.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.23 / $966.68 / $1,482.91	Facility		$827.23	$966.68	$1,482.91
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.06 / $37.06 / $37.06	Facility	AS	$37.06	$37.06	$37.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $317.52 / $433.86 / $945.56	Facility		$317.52	$433.86	$945.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $317.52 / $490.79 / $12,855.00	Facility		$317.52	$490.79	$12,855.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,537.78 / $1,537.78 / $1,537.78	Facility	AS	$1,537.78	$1,537.78	$1,537.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $317.52 / $431.60 / $1,007.76	Facility		$317.52	$431.60	$1,007.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $601.79 / $802.60 / $1,328.68	Professional		$601.79	$802.60	$1,328.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $375.23 / $16,223.75 / $16,223.75	Facility		$375.23	$16,223.75	$16,223.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $37.06 / $1,537.78 / $1,537.78	Facility	AS	$37.06	$1,537.78	$1,537.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00