Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,511.89 / $14,454.40	Facility		$1,174.90	$2,511.89	$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 $3,162.28 / $3,630.78 / $5,888.44	Facility		$3,162.28	$3,630.78	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $10,000.00	Facility		$1,202.26	$2,454.71	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,511.89 / $14,125.38	Facility		$1,202.26	$2,511.89	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $4,073.80	Professional		$1,778.28	$2,691.53	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $9,772.37 / $9,772.37	Facility		$3,090.30	$9,772.37	$9,772.37
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $309.03 / $309.03 / $977.24	Facility	AS	$309.03	$309.03	$977.24
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