Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,659.59 / $14,454.40	Facility		$794.33	$1,659.59	$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 $2,137.96 / $2,454.71 / $3,981.07	Facility		$2,137.96	$2,454.71	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,659.59 / $8,317.64	Facility		$794.33	$1,659.59	$8,317.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,737.80 / $15,135.61	Facility		$812.83	$1,737.80	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,754.23	Professional		$1,202.26	$1,819.70	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,952.62 / $19,952.62	Facility		$13,489.63	$19,952.62	$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