Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.32 / $2,276.04 / $14,482.00	Facility		$680.32	$2,276.04	$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 $1,603.99 / $1,874.39 / $2,875.37	Facility		$1,603.99	$1,874.39	$2,875.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.77 / $71.77 / $71.77	Facility	AS	$71.77	$71.77	$71.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $614.53 / $784.52 / $1,290.86	Facility		$614.53	$784.52	$1,290.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $613.42 / $855.82 / $12,855.00	Facility		$613.42	$855.82	$12,855.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,279.44 / $1,279.44 / $1,279.44	Facility	AS	$1,279.44	$1,279.44	$1,279.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $614.53 / $783.50 / $1,290.86	Facility		$614.53	$783.50	$1,290.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,164.00 / $1,552.39 / $2,578.91	Professional		$1,164.00	$1,552.39	$2,578.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $727.96 / $13,486.75 / $13,486.75	Facility		$727.96	$13,486.75	$13,486.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $71.77 / $1,279.44 / $1,279.44	Facility	AS	$71.77	$1,279.44	$1,279.44
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