Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,023.29 / $14,454.40	Facility		$478.63	$1,023.29	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,511.89	Facility		$1,288.25	$1,513.56	$2,511.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,000.00 / $6,456.54	Facility		$489.78	$1,000.00	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,023.29 / $8,317.64	Facility		$489.78	$1,023.29	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,698.24	Professional		$741.31	$1,122.02	$1,698.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $602.56 / $602.56 / $891.25	Facility	AS	$602.56	$602.56	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11