Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,513.56 / $14,454.40	Facility		$707.95	$1,513.56	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $15,488.17 / $26,302.68	Facility		$11,481.54	$15,488.17	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,715.35	Facility		$1,905.46	$2,238.72	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,479.11 / $6,456.54	Facility		$741.31	$1,479.11	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $15,135.61	Facility		$741.31	$1,513.56	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,454.71	Professional		$1,071.52	$1,621.81	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $18,620.87 / $26,915.35	Facility		$9,772.37	$18,620.87	$26,915.35
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,862.09 / $1,862.09 / $2,691.53	Facility	AS	$1,862.09	$1,862.09	$2,691.53
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