Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,691.53 / $14,454.40	Facility		$1,258.93	$2,691.53	$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 $3,388.44 / $3,890.45 / $6,309.57	Facility		$3,388.44	$3,890.45	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $10,000.00	Facility		$1,288.25	$2,238.72	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $19,498.45	Facility		$1,288.25	$2,630.27	$19,498.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,090.30 / $4,677.35	Professional		$2,041.74	$3,090.30	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $13,803.84 / $13,803.84	Facility		$3,388.44	$13,803.84	$13,803.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $338.84 / $338.84 / $1,380.38	Facility	AS	$338.84	$338.84	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21