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 / $7,943.28 / $13,182.57	Facility		$5,011.87	$7,943.28	$13,182.57
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 / $2,570.40 / $3,890.45	Facility		$1,548.82	$2,570.40	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,311.31 / $14,125.38	Facility		$1,548.82	$3,311.31	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $5,888.44	Professional		$2,570.40	$3,890.45	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $20,417.38 / $20,417.38	Facility		$3,981.07	$20,417.38	$20,417.38
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