Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $14,454.40	Facility		$2,454.71	$3,981.07	$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 $5,011.87 / $5,888.44 / $9,332.54	Facility		$5,011.87	$5,888.44	$9,332.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,244.36 / $13,489.63	Facility		$2,290.87	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $9,120.11	Facility		$1,949.84	$3,801.89	$9,120.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,011.87 / $8,317.64	Professional		$3,467.37	$5,011.87	$8,317.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $47,863.01 / $47,863.01	Facility		$5,011.87	$47,863.01	$47,863.01
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $501.19 / $501.19 / $4,786.30	Facility	AS	$501.19	$501.19	$4,786.30
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