Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,698.24 / $14,454.40	Facility		$812.83	$1,698.24	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,981.07	Facility		$2,137.96	$2,511.89	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,659.59 / $6,456.54	Facility		$831.76	$1,659.59	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,698.24 / $15,135.61	Facility		$831.76	$1,698.24	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,818.38	Professional		$1,230.27	$1,862.09	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,952.62 / $19,952.62	Facility		$13,489.63	$19,952.62	$19,952.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,348.96 / $1,348.96 / $1,995.26	Facility	AS	$1,348.96	$1,348.96	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87