Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,951.21 / $14,454.40	Facility		$1,412.54	$2,951.21	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,182.57	Facility		$5,011.87	$8,128.31	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,365.16 / $7,079.46	Facility		$3,801.89	$4,365.16	$7,079.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,884.03 / $10,000.00	Facility		$1,445.44	$2,884.03	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,951.21 / $14,125.38	Facility		$1,445.44	$2,951.21	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $4,897.79	Professional		$2,137.96	$3,235.94	$4,897.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,120.11 / $9,120.11	Facility		$3,715.35	$9,120.11	$9,120.11
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $371.54 / $371.54 / $912.01	Facility	AS	$371.54	$371.54	$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