Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $14,125.38 / $21,877.62	Facility		$1,288.25	$14,125.38	$21,877.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $6,760.83	Facility		$3,388.44	$3,981.07	$6,760.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $6,456.54	Facility		$1,318.26	$2,630.27	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $16,595.87	Facility		$1,318.26	$2,754.23	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $4,466.84	Professional		$1,949.84	$2,951.21	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $34,673.69 / $51,286.14	Facility		$18,620.87	$34,673.69	$51,286.14
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $3,467.37 / $3,467.37 / $5,128.61	Facility	AS	$3,467.37	$3,467.37	$5,128.61
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