Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,348.96 / $14,454.40	Facility		$645.65	$1,348.96	$14,454.40
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 $1,698.24 / $1,995.26 / $3,388.44	Facility		$1,698.24	$1,995.26	$3,388.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,258.93 / $6,456.54	Facility		$645.65	$1,258.93	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,348.96 / $15,135.61	Facility		$660.69	$1,348.96	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,238.72	Professional		$977.24	$1,479.11	$2,238.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $18,197.01 / $26,302.68	Facility		$9,549.93	$18,197.01	$26,302.68
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,819.70 / $1,819.70 / $2,630.27	Facility	AS	$1,819.70	$1,819.70	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87