Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $11,220.18 / $14,125.38	Facility		$724.44	$11,220.18	$14,125.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,135.61 / $26,302.68	Facility		$10,715.19	$15,135.61	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,801.89	Facility		$1,905.46	$2,238.72	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $9,772.37	Facility		$741.31	$1,513.56	$9,772.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $15,135.61	Facility		$758.58	$1,584.89	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,570.40	Professional		$1,096.48	$1,659.59	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,348.96 / $1,348.96 / $1,995.26	Facility	AS	$1,348.96	$1,348.96	$1,995.26
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