Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,265.80 / $14,454.40	Facility		$2,630.27	$4,265.80	$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 $5,248.07 / $6,165.95 / $9,772.37	Facility		$5,248.07	$6,165.95	$9,772.37
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 $2,187.76 / $4,073.80 / $9,549.93	Facility		$2,187.76	$4,073.80	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,248.07 / $8,709.64	Professional		$3,715.35	$5,248.07	$8,709.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $45,708.82 / $45,708.82	Facility		$5,248.07	$45,708.82	$45,708.82
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $4,570.88	Facility	AS	$524.81	$524.81	$4,570.88
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