Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,570.88 / $14,454.40	Facility		$1,905.46	$4,570.88	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,943.28 / $13,489.63	Facility		$3,981.07	$7,943.28	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $6,760.83 / $10,964.78	Facility		$5,754.40	$6,760.83	$10,964.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,365.16 / $7,244.36	Facility		$1,995.26	$4,365.16	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,495.41 / $8,317.64	Facility		$2,041.74	$5,495.41	$8,317.64
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Facility	62	$6,456.54	$6,456.54	$6,456.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,677.35 / $6,918.31	Professional		$3,388.44	$4,677.35	$6,918.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $15,488.17 / $15,488.17	Facility		$5,754.40	$15,488.17	$15,488.17
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $3,630.78 / $3,630.78 / $9,772.37	Facility	62	$3,630.78	$3,630.78	$9,772.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,413.10 / $9,120.11	Facility		$4,073.80	$7,413.10	$9,120.11