Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,737.80 / $14,454.40	Facility		$812.83	$1,737.80	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $4,265.80	Facility		$2,187.76	$2,511.89	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,698.24 / $6,918.31	Facility		$831.76	$1,698.24	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,737.80 / $15,135.61	Facility		$851.14	$1,737.80	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $2,818.38	Professional		$1,230.27	$1,862.09	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $32,359.37 / $47,863.01	Facility		$17,378.01	$32,359.37	$47,863.01
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $3,235.94 / $3,235.94 / $4,786.30	Facility	AS	$3,235.94	$3,235.94	$4,786.30
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