Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $8,511.38 / $33,884.42	Facility		$1,621.81	$8,511.38	$33,884.42
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,090.30 / $9,772.37 / $20,892.96	Facility	50	$3,090.30	$9,772.37	$20,892.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,623.41	Facility		$3,019.95	$3,548.13	$5,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $5,128.61 / $9,549.93	Facility		$1,174.90	$5,128.61	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $9,549.93 / $17,378.01	Facility		$1,174.90	$9,549.93	$17,378.01
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $3,467.37 / $3,467.37 / $41,686.94	Facility	50	$3,467.37	$3,467.37	$41,686.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,691.53 / $4,168.69	Professional		$1,380.38	$2,691.53	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $30,199.52 / $30,199.52	Facility		$20,417.38	$30,199.52	$30,199.52
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,041.74 / $2,041.74 / $3,019.95	Facility	AS	$2,041.74	$2,041.74	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79