Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,311.31 / $20,892.96	Facility		$977.24	$3,311.31	$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
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,467.37	Facility		$1,862.09	$2,187.76	$3,467.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $3,981.07	Facility		$691.83	$1,380.38	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,548.82 / $15,135.61	Facility		$691.83	$1,548.82	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,454.71	Professional		$1,071.52	$1,621.81	$2,454.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $26,915.35 / $26,915.35	Facility		$18,197.01	$26,915.35	$26,915.35
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,819.70 / $1,819.70 / $2,691.53	Facility	AS	$1,819.70	$1,819.70	$2,691.53
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