Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,479.11 / $14,454.40	Facility		$691.83	$1,479.11	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,677.35 / $7,413.10	Facility		$3,019.95	$4,677.35	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,467.37	Facility		$1,862.09	$2,187.76	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $10,000.00	Facility		$707.95	$1,445.44	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,479.11 / $14,125.38	Facility		$707.95	$1,479.11	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,630.27	Professional		$1,122.02	$1,698.24	$2,630.27
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 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79