Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,238.72 / $14,454.40	Facility		$1,071.52	$2,238.72	$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 $2,818.38 / $3,311.31 / $5,248.07	Facility		$2,818.38	$3,311.31	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,238.72 / $10,000.00	Facility		$1,096.48	$2,238.72	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,238.72 / $15,135.61	Facility		$1,096.48	$2,238.72	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $3,715.35	Professional		$1,584.89	$2,398.83	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $8,912.51 / $8,912.51	Facility		$2,818.38	$8,912.51	$8,912.51
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $281.84 / $281.84 / $891.25	Facility	AS	$281.84	$281.84	$891.25
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