Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $14,454.40	Facility		$1,023.29	$1,737.80	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $22,908.68	Facility		$9,120.11	$12,882.50	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,073.80	Facility		$2,187.76	$2,570.40	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $6,918.31 / $13,489.63	Facility		$1,023.29	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,818.38 / $7,943.28	Facility		$977.24	$2,818.38	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $3,388.44	Professional		$1,122.02	$2,187.76	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $15,848.93 / $15,848.93	Facility		$2,187.76	$15,848.93	$15,848.93
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $1,584.89	Facility	AS	$218.78	$218.78	$1,584.89
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