Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $14,454.40	Facility		$1,047.13	$1,819.70	$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 $2,238.72 / $2,630.27 / $4,168.69	Facility		$2,238.72	$2,630.27	$4,168.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,918.31 / $13,489.63	Facility		$1,047.13	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,691.53 / $7,943.28	Facility		$1,023.29	$2,691.53	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $3,548.13	Professional		$1,174.90	$2,290.87	$3,548.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $16,595.87 / $16,595.87	Facility		$2,238.72	$16,595.87	$16,595.87
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $223.87 / $223.87 / $1,659.59	Facility	AS	$223.87	$223.87	$1,659.59
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