Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $10,471.29 / $25,703.96	Facility		$1,949.84	$10,471.29	$25,703.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $13,182.57	Facility		$5,011.87	$7,943.28	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,884.03 / $4,570.88	Facility		$2,454.71	$2,884.03	$4,570.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,949.84 / $10,000.00	Facility		$954.99	$1,949.84	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,137.96 / $15,135.61	Facility		$954.99	$2,137.96	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,137.96 / $3,235.94	Professional		$1,412.54	$2,137.96	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57,543.99 / $85,113.80 / $85,113.80	Facility		$57,543.99	$85,113.80	$85,113.80
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5,754.40 / $5,754.40 / $8,511.38	Facility	AS	$5,754.40	$5,754.40	$8,511.38
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