Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,165.95 / $14,454.40	Facility		$3,801.89	$6,165.95	$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 $7,762.47 / $9,120.11 / $14,454.40	Facility		$7,762.47	$9,120.11	$14,454.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $7,762.47 / $14,454.40	Facility		$3,548.13	$7,762.47	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,073.80 / $9,549.93	Facility		$2,570.40	$4,073.80	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,413.10 / $10,471.29	Professional		$4,786.30	$7,413.10	$10,471.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $93,325.43	Facility		$7,762.47	$7,762.47	$93,325.43
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $776.25 / $776.25 / $9,332.54	Facility	AS	$776.25	$776.25	$9,332.54
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