Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,754.23 / $14,454.40	Facility		$1,621.81	$2,754.23	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $28,840.32	Facility		$12,882.50	$18,197.01	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $6,456.54	Facility		$3,467.37	$4,073.80	$6,456.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $6,918.31 / $13,489.63	Facility		$1,621.81	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,951.21 / $7,943.28	Facility		$1,584.89	$2,951.21	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $5,495.41	Professional		$1,778.28	$3,388.44	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $25,703.96 / $25,703.96	Facility		$3,467.37	$25,703.96	$25,703.96
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