Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,801.89 / $14,454.40	Facility		$1,778.28	$3,801.89	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $13,182.57	Facility		$5,011.87	$7,943.28	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,495.41 / $8,912.51	Facility		$4,786.30	$5,495.41	$8,912.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,715.35 / $10,000.00	Facility		$1,819.70	$3,715.35	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,801.89 / $13,182.57	Facility		$1,819.70	$3,801.89	$13,182.57
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 $4,677.35 / $27,542.29 / $27,542.29	Facility		$4,677.35	$27,542.29	$27,542.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $467.74 / $467.74 / $2,754.23	Facility	AS	$467.74	$467.74	$2,754.23
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