Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,454.71 / $13,182.57	Facility		$660.69	$2,454.71	$13,182.57
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 $1,778.28 / $2,041.74 / $3,467.37	Facility		$1,778.28	$2,041.74	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,348.96 / $5,495.41	Facility		$676.08	$1,348.96	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $15,135.61	Facility		$691.83	$1,380.38	$15,135.61
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 $9,120.11 / $17,378.01 / $25,118.86	Facility		$9,120.11	$17,378.01	$25,118.86
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,737.80 / $1,737.80 / $2,511.89	Facility	AS	$1,737.80	$1,737.80	$2,511.89
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