Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $6,456.54 / $6,456.54	Facility		$707.95	$6,456.54	$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 $1,862.09 / $2,187.76 / $3,715.35	Facility		$1,862.09	$2,187.76	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $5,495.41	Facility		$707.95	$1,445.44	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,479.11 / $15,135.61	Facility		$724.44	$1,479.11	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,454.71	Professional		$1,047.13	$1,584.89	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$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 $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79