Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,454.71 / $14,454.40	Facility		$1,148.15	$2,454.71	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,548.13 / $5,754.40	Facility		$3,090.30	$3,548.13	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,454.71 / $10,000.00	Facility		$1,174.90	$2,454.71	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,454.71 / $14,125.38	Facility		$1,174.90	$2,454.71	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $3,981.07	Professional		$1,737.80	$2,630.27	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $10,964.78 / $10,964.78	Facility		$3,019.95	$10,964.78	$10,964.78
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $302.00 / $302.00 / $1,096.48	Facility	AS	$302.00	$302.00	$1,096.48
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