Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,073.80 / $12,302.69	Facility		$1,096.48	$4,073.80	$12,302.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $5,370.32	Facility		$2,884.03	$3,388.44	$5,370.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $10,000.00	Facility		$1,122.02	$2,187.76	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $15,135.61	Facility		$1,122.02	$2,290.87	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $3,801.89	Professional		$1,621.81	$2,454.71	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $9,120.11 / $9,120.11	Facility		$2,884.03	$9,120.11	$9,120.11
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $288.40 / $288.40 / $912.01	Facility	AS	$288.40	$288.40	$912.01
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