Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,778.28 / $5,495.41	Facility		$660.69	$1,778.28	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $8,317.64 / $14,791.08	Facility		$5,128.61	$8,317.64	$14,791.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $3,311.31	Facility		$1,778.28	$2,041.74	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,380.38 / $8,317.64	Facility		$676.08	$1,380.38	$8,317.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,479.11 / $14,125.38	Facility		$676.08	$1,479.11	$14,125.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,290.87	Professional		$1,000.00	$1,513.56	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $602.56 / $602.56 / $891.25	Facility	AS	$602.56	$602.56	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $13,489.63 / $17,378.01	Facility		$8,709.64	$13,489.63	$17,378.01