Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,621.81 / $8,317.64	Facility		$562.34	$1,621.81	$8,317.64
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 $2,089.30 / $2,454.71 / $4,073.80	Facility		$2,089.30	$2,454.71	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,000.00 / $5,623.41	Facility		$575.44	$1,000.00	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,148.15 / $7,943.28	Facility		$575.44	$1,148.15	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $2,691.53	Professional		$1,047.13	$1,778.28	$2,691.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $18,197.01 / $26,915.35	Facility		$9,772.37	$18,197.01	$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 $5,128.61 / $7,413.10 / $9,120.11	Facility		$5,128.61	$7,413.10	$9,120.11