Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,318.26 / $14,454.40	Facility		$616.60	$1,318.26	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,090.30	Facility		$1,659.59	$1,949.84	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,258.93 / $3,981.07	Facility		$616.60	$1,258.93	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,288.25 / $13,182.57	Facility		$630.96	$1,288.25	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,187.76	Professional		$954.99	$1,445.44	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,248.07 / $5,248.07	Facility		$1,659.59	$5,248.07	$5,248.07
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $165.96 / $165.96 / $524.81	Facility	AS	$165.96	$165.96	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,022.64 / $16,218.10	Facility		$7,585.78	$12,022.64	$16,218.10