Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $17,782.79 / $27,542.29	Facility		$1,174.90	$17,782.79	$27,542.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,888.44	Facility		$3,090.30	$3,630.78	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $6,918.31	Facility		$1,202.26	$2,454.71	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $13,182.57	Facility		$1,230.27	$2,511.89	$13,182.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $4,073.80	Professional		$1,737.80	$2,630.27	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $8,511.38 / $8,511.38	Facility		$3,090.30	$8,511.38	$8,511.38
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $309.03 / $309.03 / $851.14	Facility	AS	$309.03	$309.03	$851.14
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