Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $17,782.79 / $23,442.29	Facility		$1,096.48	$17,782.79	$23,442.29
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 $2,884.03 / $3,388.44 / $5,754.40	Facility		$2,884.03	$3,388.44	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,238.72 / $5,495.41	Facility		$1,096.48	$2,238.72	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,290.87 / $15,135.61	Facility		$1,096.48	$2,290.87	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $3,801.89	Professional		$1,659.59	$2,511.89	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $26,302.68	Facility		$9,549.93	$17,782.79	$26,302.68
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,778.28 / $1,778.28 / $2,630.27	Facility	AS	$1,778.28	$1,778.28	$2,630.27
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