Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,584.89 / $14,454.40	Facility		$933.25	$1,584.89	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $22,908.68	Facility		$10,000.00	$13,803.84	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,290.87 / $3,715.35	Facility		$1,995.26	$2,290.87	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,760.83 / $13,489.63	Facility		$933.25	$6,760.83	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,818.38 / $7,943.28	Facility		$912.01	$2,818.38	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $3,090.30	Professional		$1,000.00	$1,949.84	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $14,454.40 / $14,454.40	Facility		$1,995.26	$14,454.40	$14,454.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $199.53 / $199.53 / $1,445.44	Facility	AS	$199.53	$199.53	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45