Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $8,912.51 / $25,703.96	Facility		$1,479.11	$8,912.51	$25,703.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $15,488.17 / $26,302.68	Facility		$11,481.54	$15,488.17	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,715.35	Facility		$1,862.09	$2,187.76	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,445.44 / $5,495.41	Facility		$724.44	$1,445.44	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $15,135.61	Facility		$724.44	$1,479.11	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,454.71	Professional		$1,071.52	$1,621.81	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $26,302.68	Facility		$9,549.93	$17,782.79	$26,302.68
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,778.28 / $1,778.28 / $2,630.27	Facility	AS	$1,778.28	$1,778.28	$2,630.27
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