Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $15,135.61 / $19,054.61	Facility		$724.44	$15,135.61	$19,054.61
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 $1,949.84 / $2,290.87 / $3,801.89	Facility		$1,949.84	$2,290.87	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $5,495.41	Facility		$758.58	$1,513.56	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $15,135.61	Facility		$758.58	$1,548.82	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,570.40	Professional		$1,122.02	$1,698.24	$2,570.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,348.96 / $1,348.96 / $1,995.26	Facility	AS	$1,348.96	$1,348.96	$1,995.26
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