Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $14,454.40	Facility		$1,513.56	$3,235.94	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,677.35 / $7,585.78	Facility		$4,073.80	$4,677.35	$7,585.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,235.94 / $10,471.29	Facility		$1,548.82	$3,235.94	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,311.31 / $15,135.61	Facility		$1,548.82	$3,311.31	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,715.35 / $5,623.41	Professional		$2,454.71	$3,715.35	$5,623.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $20,417.38 / $20,417.38	Facility		$4,073.80	$20,417.38	$20,417.38
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $407.38 / $407.38 / $2,041.74	Facility	AS	$407.38	$407.38	$2,041.74
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