Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $13,182.57 / $23,988.33	Facility		$1,584.89	$13,182.57	$23,988.33
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 $1,995.26 / $2,344.23 / $3,890.45	Facility		$1,995.26	$2,344.23	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $5,495.41	Facility		$758.58	$1,548.82	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,659.59 / $15,135.61	Facility		$776.25	$1,659.59	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,630.27	Professional		$1,122.02	$1,698.24	$2,630.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $17,378.01 / $25,703.96	Facility		$9,332.54	$17,378.01	$25,703.96
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,737.80 / $1,737.80 / $2,570.40	Facility	AS	$1,737.80	$1,737.80	$2,570.40
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