Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.61 / $1,255.52 / $14,482.00	Facility		$400.61	$1,255.52	$14,482.00
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 $939.87 / $1,098.31 / $1,684.84	Facility		$939.87	$1,098.31	$1,684.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $362.94 / $492.76 / $1,059.47	Facility		$362.94	$492.76	$1,059.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $362.94 / $548.09 / $12,855.00	Facility		$362.94	$548.09	$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 $362.94 / $486.18 / $1,080.56	Facility		$362.94	$486.18	$1,080.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $681.00 / $908.23 / $1,511.26	Professional		$681.00	$908.23	$1,511.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $427.39 / $16,223.75 / $16,223.75	Facility		$427.39	$16,223.75	$16,223.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $42.13 / $1,537.78 / $1,537.78	Facility	AS	$42.13	$1,537.78	$1,537.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,733.00 / $13,980.00	Facility		$5,266.00	$11,733.00	$13,980.00