Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,659.59 / $6,456.54	Facility		$776.25	$1,659.59	$6,456.54
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 $2,089.30 / $2,454.71 / $4,073.80	Facility		$2,089.30	$2,454.71	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,621.81 / $5,495.41	Facility		$794.33	$1,621.81	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,659.59 / $15,135.61	Facility		$812.83	$1,659.59	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,691.53	Professional		$1,174.90	$1,778.28	$2,691.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $18,197.01 / $26,915.35	Facility		$9,772.37	$18,197.01	$26,915.35
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,819.70 / $1,819.70 / $2,691.53	Facility	AS	$1,819.70	$1,819.70	$2,691.53
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