Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,398.83 / $14,454.40	Facility		$758.58	$2,398.83	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $13,489.63 / $26,915.35	Facility		$8,128.31	$13,489.63	$26,915.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,778.28	Facility		$954.99	$1,122.02	$1,778.28
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	22	$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	AS	$66.07	$66.07	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $457.09 / $3,715.35	Facility		$346.74	$457.09	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $457.09 / $1,000.00	Facility		$346.74	$457.09	$1,000.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	AS	$1,548.82	$1,548.82	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,318.26	Professional		$562.34	$870.96	$1,318.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $16,218.10	Facility		$10,964.78	$10,964.78	$16,218.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,096.48 / $1,096.48 / $1,621.81	Facility	AS	$1,096.48	$1,096.48	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,302.69 / $14,125.38	Facility		$9,120.11	$12,302.69	$14,125.38