Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $12,589.25 / $12,589.25	Facility		$776.25	$12,589.25	$12,589.25
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 $2,089.30 / $2,454.71 / $4,073.80	Facility		$2,089.30	$2,454.71	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,584.89 / $6,918.31	Facility		$812.83	$1,584.89	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,659.59 / $15,135.61	Facility		$812.83	$1,659.59	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,691.53	Professional		$1,174.90	$1,778.28	$2,691.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $17,378.01 / $25,118.86	Facility		$9,120.11	$17,378.01	$25,118.86
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,737.80 / $1,737.80 / $2,511.89	Facility	AS	$1,737.80	$1,737.80	$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