Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $14,454.40	Facility		$1,778.28	$3,019.95	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $7,079.46	Facility		$3,801.89	$4,466.84	$7,079.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,760.83 / $13,489.63	Facility		$1,778.28	$6,760.83	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $7,943.28	Facility		$1,698.24	$2,951.21	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $5,888.44	Professional		$1,949.84	$3,801.89	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $27,542.29 / $27,542.29	Facility		$3,801.89	$27,542.29	$27,542.29
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