Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,137.96 / $14,454.40	Facility		$1,023.29	$2,137.96	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $5,011.87	Facility		$2,691.53	$3,162.28	$5,011.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $10,000.00	Facility		$1,023.29	$2,089.30	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $13,182.57	Facility		$1,047.13	$2,137.96	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,290.87 / $3,548.13	Professional		$1,513.56	$2,290.87	$3,548.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $15,848.93 / $15,848.93	Facility		$2,691.53	$15,848.93	$15,848.93
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