Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $14,454.40	Facility		$758.58	$1,584.89	$14,454.40
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 $2,041.74 / $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 / $1,584.89 / $8,317.64	Facility		$776.25	$1,584.89	$8,317.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,584.89 / $15,135.61	Facility		$794.33	$1,584.89	$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 $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 $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79