Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,698.24 / $14,454.40	Facility		$812.83	$1,698.24	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,981.07	Facility		$2,137.96	$2,511.89	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,659.59 / $10,471.29	Facility		$812.83	$1,659.59	$10,471.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,698.24 / $8,317.64	Facility		$831.76	$1,698.24	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,818.38	Professional		$1,230.27	$1,862.09	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,606.93 / $6,606.93	Facility		$2,137.96	$6,606.93	$6,606.93
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $213.80 / $213.80 / $660.69	Facility	AS	$213.80	$213.80	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11