Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,621.81 / $14,454.40	Facility		$724.44	$1,621.81	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $28,840.32	Facility		$12,022.64	$16,982.44	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $3,981.07	Facility		$2,041.74	$2,344.23	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $6,456.54	Facility		$776.25	$1,548.82	$6,456.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,621.81 / $15,135.61	Facility		$776.25	$1,621.81	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,630.27	Professional		$1,148.15	$1,737.80	$2,630.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $38,018.94 / $56,234.13	Facility		$20,417.38	$38,018.94	$56,234.13
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $3,801.89 / $3,801.89 / $5,623.41	Facility	AS	$3,801.89	$3,801.89	$5,623.41
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