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 / $10,715.19	Facility		$5,754.40	$6,760.83	$10,715.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $7,244.36	Facility		$2,041.74	$4,365.16	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,495.41 / $8,317.64	Facility		$2,089.30	$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
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility	AS	$1,023.29	$1,023.29	$1,023.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,570.88 / $6,760.83	Professional		$3,311.31	$4,570.88	$6,760.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $14,125.38 / $14,125.38	Facility		$5,754.40	$14,125.38	$14,125.38
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $3,630.78 / $3,630.78 / $8,912.51	Facility	62	$3,630.78	$3,630.78	$8,912.51
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $575.44 / $575.44 / $1,412.54	Facility	AS	$575.44	$575.44	$1,412.54
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