Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,621.81 / $14,454.40	Facility		$776.25	$1,621.81	$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 $2,041.74 / $2,398.83 / $3,890.45	Facility		$2,041.74	$2,398.83	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,621.81 / $10,000.00	Facility		$794.33	$1,621.81	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,698.24 / $15,135.61	Facility		$794.33	$1,698.24	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,884.03	Professional		$1,258.93	$1,905.46	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $13,182.57 / $13,182.57	Facility		$2,041.74	$13,182.57	$13,182.57
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $204.17 / $204.17 / $1,318.26	Facility	AS	$204.17	$204.17	$1,318.26
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