Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,548.13 / $9,772.37	Facility		$954.99	$3,548.13	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,589.25 / $16,218.10	Facility		$6,456.54	$12,589.25	$16,218.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $457.09 / $645.65	Facility		$346.74	$457.09	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,737.80	Facility		$933.25	$1,096.48	$1,737.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $758.58 / $10,471.29	Facility		$380.19	$758.58	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $831.76 / $15,848.93	Facility		$380.19	$831.76	$15,848.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,230.27	Professional		$549.54	$851.14	$1,230.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $6,165.95	Facility		$954.99	$954.99	$6,165.95
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $588.84 / $588.84 / $3,890.45	Facility	62	$588.84	$588.84	$3,890.45
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $95.50 / $95.50 / $616.60	Facility	AS	$95.50	$95.50	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $13,182.57 / $27,542.29	Facility		$7,585.78	$13,182.57	$27,542.29