Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,162.28 / $14,454.40	Facility		$1,513.56	$3,162.28	$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 $3,981.07 / $4,677.35 / $7,413.10	Facility		$3,981.07	$4,677.35	$7,413.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,162.28 / $10,471.29	Facility		$1,548.82	$3,162.28	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,235.94 / $15,135.61	Facility		$1,548.82	$3,235.94	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $5,370.32	Professional		$2,344.23	$3,548.13	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $16,218.10 / $16,218.10	Facility		$3,981.07	$16,218.10	$16,218.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $398.11 / $398.11 / $1,621.81	Facility	AS	$398.11	$398.11	$1,621.81
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