Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,754.40 / $8,912.51	Facility		$891.25	$5,754.40	$8,912.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $7,943.28 / $10,715.19	Facility	50	$2,691.53	$7,943.28	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $12,882.50 / $21,877.62	Facility		$9,549.93	$12,882.50	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,801.89	Facility		$2,041.74	$2,398.83	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,981.07 / $7,413.10	Facility		$794.33	$3,981.07	$7,413.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,918.31 / $13,803.84	Facility		$776.25	$6,918.31	$13,803.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,862.09 / $2,570.40	Professional		$954.99	$1,862.09	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $15,135.61 / $15,135.61	Facility		$10,232.93	$15,135.61	$15,135.61
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,023.29 / $1,023.29 / $1,513.56	Facility	AS	$1,023.29	$1,023.29	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40