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 / $16,595.87	Facility		$1,174.90	$2,511.89	$16,595.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $12,589.25	Facility		$3,981.07	$7,762.47	$12,589.25
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 / $2,511.89 / $10,000.00	Facility		$1,202.26	$2,511.89	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,511.89 / $13,182.57	Facility		$1,202.26	$2,511.89	$13,182.57
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 54 Low / Median / High Price $2,187.76 / $2,187.76 / $6,918.31	Facility	54	$2,187.76	$2,187.76	$6,918.31
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 $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87