Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,000.00 / $14,454.40	Facility		$478.63	$1,000.00	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $12,589.25	Facility		$3,981.07	$7,762.47	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,344.23	Facility		$1,258.93	$1,479.11	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,023.29 / $4,168.69	Facility		$489.78	$1,023.29	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,023.29 / $13,182.57	Facility		$501.19	$1,023.29	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,819.70	Professional		$794.33	$1,202.26	$1,819.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,981.07 / $3,981.07	Facility		$1,258.93	$3,981.07	$3,981.07
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $125.89 / $125.89 / $398.11	Facility	AS	$125.89	$125.89	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10