Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $691.83 / $14,454.40	Facility		$371.54	$691.83	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,584.89	Facility		$851.14	$1,000.00	$1,584.89
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	62	$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $60.26 / $60.26 / $60.26	Facility	AS	$60.26	$60.26	$60.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $8,128.31	Facility		$323.59	$478.63	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $12,302.69	Facility		$338.84	$512.86	$12,302.69
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	62	$1,000.00	$1,000.00	$1,000.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	AS	$158.49	$158.49	$158.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,148.15	Professional		$407.38	$741.31	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,137.96 / $2,137.96	Facility		$851.14	$2,137.96	$2,137.96
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $537.03 / $537.03 / $1,348.96	Facility	62	$537.03	$537.03	$1,348.96
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $85.11 / $85.11 / $213.80	Facility	AS	$85.11	$85.11	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,982.44	Facility		$7,585.78	$12,302.69	$16,982.44