Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,311.31 / $3,311.31	Facility		$691.83	$3,311.31	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $9,332.54	Facility		$3,311.31	$4,897.79	$9,332.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,311.31	Facility		$1,778.28	$2,089.30	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,445.44 / $10,000.00	Facility		$691.83	$1,445.44	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,584.89 / $14,125.38	Facility		$741.31	$1,584.89	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,344.23	Professional		$1,047.13	$1,621.81	$2,344.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $11,748.98 / $11,748.98	Facility		$1,819.70	$11,748.98	$11,748.98
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $1,174.90	Facility	AS	$181.97	$181.97	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,489.63 / $17,378.01	Facility		$8,912.51	$13,489.63	$17,378.01