Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,754.23 / $14,454.40	Facility		$1,513.56	$2,754.23	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $20,417.38	Facility		$9,120.11	$12,882.50	$20,417.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,801.89 / $6,025.60	Facility		$3,235.94	$3,801.89	$6,025.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $6,918.31 / $13,489.63	Facility		$1,513.56	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $7,943.28	Facility		$1,513.56	$2,818.38	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $5,011.87	Professional		$1,698.24	$3,311.31	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $21,877.62 / $21,877.62	Facility		$3,388.44	$21,877.62	$21,877.62
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