Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $17,782.79 / $23,988.33	Facility		$1,047.13	$17,782.79	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $5,495.41	Facility		$2,818.38	$3,235.94	$5,495.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,187.76 / $6,456.54	Facility		$1,071.52	$2,187.76	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $15,135.61	Facility		$1,096.48	$2,187.76	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $3,630.78	Professional		$1,548.82	$2,344.23	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $34,673.69 / $51,286.14	Facility		$18,620.87	$34,673.69	$51,286.14
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $3,467.37 / $3,467.37 / $5,128.61	Facility	AS	$3,467.37	$3,467.37	$5,128.61
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