Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,570.88 / $14,454.40	Facility		$2,818.38	$4,570.88	$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 $5,754.40 / $6,606.93 / $10,715.19	Facility		$5,754.40	$6,606.93	$10,715.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,244.36 / $13,489.63	Facility		$2,630.27	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,801.89 / $9,549.93	Facility		$2,238.72	$3,801.89	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,623.41 / $9,549.93	Professional		$3,981.07	$5,623.41	$9,549.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $54,954.09 / $54,954.09	Facility		$5,754.40	$54,954.09	$54,954.09
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $575.44 / $575.44 / $5,495.41	Facility	AS	$575.44	$575.44	$5,495.41
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