Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,412.54 / $16,982.44	Facility		$660.69	$1,412.54	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $29,512.09	Facility		$12,882.50	$17,378.01	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,467.37	Facility		$1,778.28	$2,089.30	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,380.38 / $6,918.31	Facility		$676.08	$1,380.38	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,412.54 / $19,498.45	Facility		$691.83	$1,412.54	$19,498.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,290.87	Professional		$1,000.00	$1,513.56	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $37,153.52 / $54,954.09	Facility		$19,498.45	$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 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21