Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.25 / $684.11 / $14,482.00	Facility		$369.25	$684.11	$14,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.36 / $997.22 / $1,529.76	Facility		$853.36	$997.22	$1,529.76
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $243.96 / $243.96 / $243.96	Facility	62	$243.96	$243.96	$243.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $39.03 / $39.03 / $39.03	Facility	AS	$39.03	$39.03	$39.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $335.70 / $466.33 / $1,035.50	Facility		$335.70	$466.33	$1,035.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $334.46 / $525.59 / $11,955.00	Facility		$334.46	$525.59	$11,955.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $992.48 / $992.48 / $992.48	Facility	62	$992.48	$992.48	$992.48
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $158.80 / $158.80 / $158.80	Facility	AS	$158.80	$158.80	$158.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $335.70 / $466.33 / $1,035.50	Facility		$335.70	$466.33	$1,035.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $629.40 / $839.41 / $1,385.86	Professional		$629.40	$839.41	$1,385.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $401.09 / $1,638.00 / $1,638.00	Facility		$401.09	$1,638.00	$1,638.00
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $243.96 / $992.48 / $992.48	Facility	62	$243.96	$992.48	$992.48
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $39.03 / $158.80 / $158.80	Facility	AS	$39.03	$158.80	$158.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00