Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,737.80 / $14,454.40	Facility		$831.76	$1,737.80	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
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 $851.14 / $1,548.82 / $3,981.07	Facility		$851.14	$1,548.82	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,737.80 / $11,220.18	Facility		$851.14	$1,737.80	$11,220.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $2,951.21	Professional		$1,288.25	$1,949.84	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,912.51 / $8,912.51	Facility		$6,025.60	$8,912.51	$8,912.51
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $602.56 / $602.56 / $891.25	Facility	AS	$602.56	$602.56	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25