Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.78 / $2,244.67 / $14,482.00	Facility		$673.78	$2,244.67	$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 $1,579.66 / $1,845.96 / $2,831.75	Facility		$1,579.66	$1,845.96	$2,831.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.20 / $71.20 / $71.20	Facility	AS	$71.20	$71.20	$71.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $609.44 / $803.80 / $1,596.00	Facility		$609.44	$803.80	$1,596.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $610.58 / $940.09 / $9,558.29	Facility		$610.58	$940.09	$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 $609.44 / $803.80 / $1,596.00	Facility		$609.44	$803.80	$1,596.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,154.40 / $1,539.58 / $2,540.82	Professional		$1,154.40	$1,539.58	$2,540.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $721.42 / $9,558.29 / $9,558.29	Facility		$721.42	$9,558.29	$9,558.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $71.20 / $905.99 / $905.99	Facility	AS	$71.20	$905.99	$905.99
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00