Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,318.26 / $14,454.40	Facility		$616.60	$1,318.26	$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 $1,659.59 / $1,949.84 / $3,235.94	Facility		$1,659.59	$1,949.84	$3,235.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,258.93 / $9,772.37	Facility		$630.96	$1,258.93	$9,772.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,318.26 / $15,135.61	Facility		$645.65	$1,318.26	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,137.96	Professional		$933.25	$1,412.54	$2,137.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $18,620.87 / $27,542.29	Facility		$10,000.00	$18,620.87	$27,542.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,862.09 / $1,862.09 / $2,754.23	Facility	AS	$1,862.09	$1,862.09	$2,754.23
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