Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,659.59 / $14,454.40	Facility		$1,000.00	$1,659.59	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $13,803.84 / $21,877.62	Facility		$10,000.00	$13,803.84	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,890.45	Facility		$2,041.74	$2,398.83	$3,890.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,413.10 / $14,454.40	Facility		$933.25	$7,413.10	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,388.44 / $9,549.93	Facility		$912.01	$3,388.44	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $3,019.95	Professional		$1,318.26	$2,089.30	$3,019.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $5,128.61	Facility		$2,089.30	$2,089.30	$5,128.61
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $208.93 / $208.93 / $512.86	Facility	AS	$208.93	$208.93	$512.86
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