Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,778.28 / $14,454.40	Facility		$851.14	$1,778.28	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $28,840.32	Facility		$12,022.64	$16,982.44	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $4,168.69	Facility		$2,238.72	$2,630.27	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,737.80 / $6,918.31	Facility		$870.96	$1,737.80	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $15,135.61	Facility		$870.96	$1,778.28	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,884.03	Professional		$1,258.93	$1,905.46	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33,113.11 / $48,977.88 / $48,977.88	Facility		$33,113.11	$48,977.88	$48,977.88
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $3,311.31 / $3,311.31 / $4,897.79	Facility	AS	$3,311.31	$3,311.31	$4,897.79
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