Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,089.30 / $14,454.40	Facility		$1,000.00	$2,089.30	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $29,512.09	Facility		$13,803.84	$18,620.87	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,897.79	Facility		$2,630.27	$3,090.30	$4,897.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $10,471.29	Facility		$1,023.29	$2,089.30	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,238.72 / $16,595.87	Facility		$1,023.29	$2,238.72	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $3,715.35	Professional		$1,584.89	$2,398.83	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53,703.18 / $53,703.18 / $79,432.82	Facility		$53,703.18	$53,703.18	$79,432.82
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,370.32 / $5,370.32 / $7,943.28	Facility	AS	$5,370.32	$5,370.32	$7,943.28
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