Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $4,786.30	Facility		$20.42	$20.42	$4,786.30
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 $3,388.44 / $3,890.45 / $6,309.57	Facility		$3,388.44	$3,890.45	$6,309.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $6,918.31 / $13,489.63	Facility		$1,548.82	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,884.03 / $7,943.28	Facility		$1,513.56	$2,884.03	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $5,248.07	Professional		$1,698.24	$3,311.31	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $24,547.09 / $24,547.09	Facility		$3,388.44	$24,547.09	$24,547.09
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,089.30 / $2,089.30 / $15,488.17	Facility	62	$2,089.30	$2,089.30	$15,488.17
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $338.84 / $338.84 / $2,454.71	Facility	AS	$338.84	$338.84	$2,454.71
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