Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.83 / $2,039.01 / $14,482.00	Facility		$611.83	$2,039.01	$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 $1,434.58 / $1,676.42 / $2,571.67	Facility		$1,434.58	$1,676.42	$2,571.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.65 / $64.65 / $64.65	Facility	AS	$64.65	$64.65	$64.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $553.14 / $742.82 / $1,232.66	Facility		$553.14	$742.82	$1,232.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $553.71 / $854.17 / $9,558.29	Facility		$553.71	$854.17	$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 $553.14 / $732.00 / $1,228.50	Facility		$553.14	$732.00	$1,228.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,049.40 / $1,399.55 / $2,307.28	Professional		$1,049.40	$1,399.55	$2,307.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $654.54 / $9,558.29 / $9,558.29	Facility		$654.54	$9,558.29	$9,558.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $64.65 / $905.99 / $905.99	Facility	AS	$64.65	$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