Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,344.23 / $14,454.40	Facility		$1,096.48	$2,344.23	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $28,840.32	Facility		$11,220.18	$16,982.44	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,388.44 / $5,754.40	Facility		$2,951.21	$3,388.44	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $4,168.69	Facility		$1,000.00	$2,238.72	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,290.87 / $11,481.54	Facility		$1,023.29	$2,290.87	$11,481.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $3,801.89	Professional		$1,659.59	$2,511.89	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $32,359.37 / $47,863.01	Facility		$17,378.01	$32,359.37	$47,863.01
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $3,235.94 / $3,235.94 / $4,786.30	Facility	AS	$3,235.94	$3,235.94	$4,786.30
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