Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,148.15 / $17,378.01	Facility		$616.60	$1,148.15	$17,378.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,489.63	Facility		$5,011.87	$8,317.64	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,691.53	Facility		$1,445.44	$1,698.24	$2,691.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	AS	$100.00	$100.00	$100.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $5,623.41	Facility		$537.03	$758.58	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $9,772.37	Facility		$562.34	$812.83	$9,772.37
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	AS	$912.01	$912.01	$912.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,318.26 / $2,041.74	Professional		$724.44	$1,318.26	$2,041.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $9,549.93 / $9,549.93	Facility		$6,456.54	$9,549.93	$9,549.93
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $645.65 / $645.65 / $954.99	Facility	AS	$645.65	$645.65	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25