Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $9,332.54 / $20,892.96	Facility		$851.14	$9,332.54	$20,892.96
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 $2,238.72 / $2,630.27 / $4,466.84	Facility		$2,238.72	$2,630.27	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $10,000.00	Facility		$870.96	$1,778.28	$10,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,778.28 / $15,135.61	Facility		$891.25	$1,778.28	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $2,951.21	Professional		$1,288.25	$1,949.84	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $26,302.68	Facility		$9,549.93	$17,782.79	$26,302.68
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,778.28 / $1,778.28 / $2,630.27	Facility	AS	$1,778.28	$1,778.28	$2,630.27
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