Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,630.78 / $14,454.40	Facility		$2,290.87	$3,630.78	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $28,840.32	Facility		$12,882.50	$18,197.01	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $8,511.38	Facility		$4,570.88	$5,370.32	$8,511.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,244.36 / $13,489.63	Facility		$2,089.30	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,548.13 / $7,943.28	Facility		$1,778.28	$3,548.13	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,570.88 / $7,585.78	Professional		$3,235.94	$4,570.88	$7,585.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $44,668.36 / $44,668.36	Facility		$4,570.88	$44,668.36	$44,668.36
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