Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.05 / $645.25 / $14,482.00	Facility		$195.05	$645.25	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $8,456.00 / $10,914.00	Facility		$6,159.00	$8,456.00	$10,914.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.56 / $526.52 / $807.69	Facility		$450.56	$526.52	$807.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.84 / $20.84 / $20.84	Facility	AS	$20.84	$20.84	$20.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.00 / $226.60 / $402.28	Facility		$177.00	$226.60	$402.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.83 / $273.07 / $1,642.00	Facility		$176.83	$273.07	$1,642.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $84.92 / $84.92 / $84.92	Facility	AS	$84.92	$84.92	$84.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $176.83 / $226.12 / $402.28	Facility		$176.83	$226.12	$402.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $448.91 / $732.20	Professional		$336.60	$448.91	$732.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $214.31 / $849.23 / $849.23	Facility		$214.31	$849.23	$849.23
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $20.84 / $84.92 / $84.92	Facility	AS	$20.84	$84.92	$84.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90