Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,801.89 / $14,454.40	Facility		$1,819.70	$3,801.89	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,623.41 / $9,332.54	Facility		$4,786.30	$5,623.41	$9,332.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,890.45 / $10,000.00	Facility		$1,862.09	$3,890.45	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,981.07 / $19,952.62	Facility		$1,905.46	$3,981.07	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $6,165.95	Professional		$2,691.53	$4,073.80	$6,165.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $23,988.33 / $39,810.72	Facility		$4,786.30	$23,988.33	$39,810.72
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $3,801.89 / $3,801.89 / $19,054.61	Facility	52	$3,801.89	$3,801.89	$19,054.61
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $478.63 / $478.63 / $2,398.83	Facility	AS	$478.63	$478.63	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $18,197.01 / $28,840.32	Facility		$8,709.64	$18,197.01	$28,840.32