Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,288.25 / $3,090.30	Facility		$602.56	$1,288.25	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $15,488.17 / $26,302.68	Facility		$11,481.54	$15,488.17	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,265.80	Facility		$2,187.76	$2,570.40	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,000.00 / $3,548.13	Facility		$630.96	$1,000.00	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,148.15 / $14,125.38	Facility		$645.65	$1,148.15	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $2,884.03	Professional		$1,122.02	$1,905.46	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $13,489.63 / $19,952.62	Facility		$7,244.36	$13,489.63	$19,952.62
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,348.96 / $1,348.96 / $1,995.26	Facility	AS	$1,348.96	$1,348.96	$1,995.26
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