Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.59 / $8,243.00 / $17,823.00	Facility		$810.59	$8,243.00	$17,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $10,914.00 / $23,240.00	Facility		$8,139.00	$10,914.00	$23,240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.27 / $1,189.92 / $1,825.37	Facility		$1,018.27	$1,189.92	$1,825.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $46.23 / $46.23 / $46.23	Facility	AS	$46.23	$46.23	$46.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $379.72 / $492.80 / $876.86	Facility		$379.72	$492.80	$876.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.73 / $505.80 / $1,081.97	Facility		$381.73	$505.80	$1,081.97
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 $373.34 / $493.01 / $876.86	Facility		$373.34	$493.01	$876.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $674.04 / $982.06 / $1,471.96	Professional		$674.04	$982.06	$1,471.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $470.38 / $1,015.93 / $16,223.75	Facility		$470.38	$1,015.93	$16,223.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $46.23 / $101.59 / $1,537.78	Facility	AS	$46.23	$101.59	$1,537.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,628.00 / $11,799.00 / $13,748.00	Facility		$4,628.00	$11,799.00	$13,748.00