Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $626.71 / $8,243.00 / $14,482.00	Facility		$626.71	$8,243.00	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,139.00 / $10,914.00	Facility		$5,169.00	$8,139.00	$10,914.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,471.53 / $1,719.60 / $2,637.91	Facility		$1,471.53	$1,719.60	$2,637.91
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.25 / $66.25 / $66.25	Facility	AS	$66.25	$66.25	$66.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $570.92 / $773.26 / $1,496.90	Facility		$570.92	$773.26	$1,496.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $570.92 / $877.22 / $9,558.29	Facility		$570.92	$877.22	$9,558.29
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $905.99 / $905.99 / $905.99	Facility	AS	$905.99	$905.99	$905.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $570.92 / $773.26 / $1,543.50	Facility		$570.92	$773.26	$1,543.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,073.40 / $1,431.56 / $2,365.53	Professional		$1,073.40	$1,431.56	$2,365.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $670.45 / $9,558.29 / $9,558.29	Facility		$670.45	$9,558.29	$9,558.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $66.25 / $905.99 / $905.99	Facility	AS	$66.25	$905.99	$905.99
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00