Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,168.69 / $13,489.63	Facility		$616.60	$4,168.69	$13,489.63
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 $1,659.59 / $1,905.46 / $3,235.94	Facility		$1,659.59	$1,905.46	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,230.27 / $5,495.41	Facility		$630.96	$1,230.27	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,288.25 / $15,135.61	Facility		$645.65	$1,288.25	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,187.76	Professional		$933.25	$1,412.54	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $16,982.44 / $25,118.86	Facility		$9,120.11	$16,982.44	$25,118.86
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,698.24 / $1,698.24 / $2,511.89	Facility	AS	$1,698.24	$1,698.24	$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