Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,495.41 / $20,417.38	Facility		$1,148.15	$5,495.41	$20,417.38
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 $1,862.09 / $2,137.96 / $3,630.78	Facility		$1,862.09	$2,137.96	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,445.44 / $5,495.41	Facility		$707.95	$1,445.44	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,698.24 / $16,595.87	Facility		$707.95	$1,698.24	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,398.83	Professional		$1,047.13	$1,584.89	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $18,197.01 / $26,915.35	Facility		$9,772.37	$18,197.01	$26,915.35
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,819.70 / $1,819.70 / $2,691.53	Facility	AS	$1,819.70	$1,819.70	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79