Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $14,454.40	Facility		$1,000.00	$1,698.24	$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 $2,137.96 / $2,511.89 / $3,981.07	Facility		$2,137.96	$2,511.89	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $6,918.31 / $13,489.63	Facility		$977.24	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,691.53 / $7,943.28	Facility		$977.24	$2,691.53	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,311.31	Professional		$1,096.48	$2,137.96	$3,311.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,589.25 / $12,589.25	Facility		$2,137.96	$12,589.25	$12,589.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $213.80 / $213.80 / $1,258.93	Facility	AS	$213.80	$213.80	$1,258.93
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