Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,235.94 / $18,620.87	Facility		$1,230.27	$3,235.94	$18,620.87
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
CareSource Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,513.56	Facility		$851.14	$1,047.13	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,677.35	Facility		$2,344.23	$2,754.23	$4,677.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,862.09 / $8,709.64	Facility		$912.01	$1,862.09	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,995.26 / $15,135.61	Facility		$891.25	$1,995.26	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $3,090.30	Professional		$1,318.26	$2,041.74	$3,090.30
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