Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.86 / $6,855.84 / $15,603.56	Facility		$368.86	$6,855.84	$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 $867.78 / $1,014.07 / $1,555.61	Facility		$867.78	$1,014.07	$1,555.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $38.74 / $38.74 / $38.74	Facility	AS	$38.74	$38.74	$38.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $332.81 / $457.81 / $993.51	Facility		$332.81	$457.81	$993.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.41 / $515.69 / $12,855.00	Facility		$332.41	$515.69	$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 $332.81 / $449.44 / $1,028.00	Facility		$332.81	$449.44	$1,028.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $836.21 / $1,394.41	Professional		$627.00	$836.21	$1,394.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $392.46 / $16,223.75 / $16,223.75	Facility		$392.46	$16,223.75	$16,223.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $38.74 / $1,537.78 / $1,537.78	Facility	AS	$38.74	$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