Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,951.21 / $14,454.40	Facility		$1,412.54	$2,951.21	$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 $3,715.35 / $4,365.16 / $7,244.36	Facility		$3,715.35	$4,365.16	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,951.21 / $10,000.00	Facility		$1,445.44	$2,951.21	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,235.94 / $19,952.62	Facility		$1,445.44	$3,235.94	$19,952.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $4,786.30	Professional		$2,089.30	$3,162.28	$4,786.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $18,197.01 / $39,810.72	Facility		$3,715.35	$18,197.01	$39,810.72
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $2,951.21 / $2,951.21 / $14,791.08	Facility	52	$2,951.21	$2,951.21	$14,791.08
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $371.54 / $371.54 / $1,819.70	Facility	AS	$371.54	$371.54	$1,819.70
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