Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.46 / $2,537.09 / $14,482.00	Facility		$761.46	$2,537.09	$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 $1,782.42 / $2,082.89 / $3,195.21	Facility		$1,782.42	$2,082.89	$3,195.21
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.59 / $80.59 / $80.59	Facility	AS	$80.59	$80.59	$80.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $695.96 / $944.08 / $1,829.88	Facility		$695.96	$944.08	$1,829.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $695.96 / $1,058.18 / $10,568.00	Facility		$695.96	$1,058.18	$10,568.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,704.89 / $1,704.89 / $1,704.89	Facility	AS	$1,704.89	$1,704.89	$1,704.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $695.96 / $944.08 / $1,829.88	Facility		$695.96	$944.08	$1,829.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,308.00 / $1,744.44 / $2,870.92	Professional		$1,308.00	$1,744.44	$2,870.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $817.93 / $17,986.75 / $17,986.75	Facility		$817.93	$17,986.75	$17,986.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $80.59 / $1,704.89 / $1,704.89	Facility	AS	$80.59	$1,704.89	$1,704.89
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