Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $9,772.37 / $30,902.95	Facility		$1,148.15	$9,772.37	$30,902.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $28,840.32	Facility		$12,882.50	$17,378.01	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,548.13 / $6,025.60	Facility		$3,090.30	$3,548.13	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,398.83 / $10,000.00	Facility		$1,174.90	$2,398.83	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $22,908.68	Facility		$1,202.26	$2,454.71	$22,908.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $3,981.07	Professional		$1,737.80	$2,630.27	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,952.62 / $37,153.52 / $54,954.09	Facility		$19,952.62	$37,153.52	$54,954.09
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $3,715.35 / $3,715.35 / $5,495.41	Facility	AS	$3,715.35	$3,715.35	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $18,197.01 / $28,840.32	Facility		$8,709.64	$18,197.01	$28,840.32