Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $14,454.40	Facility		$2,089.30	$3,388.44	$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 $4,168.69 / $4,897.79 / $7,762.47	Facility		$4,168.69	$4,897.79	$7,762.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,413.10 / $14,454.40	Facility		$1,905.46	$7,413.10	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $9,549.93	Facility		$1,778.28	$3,388.44	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $7,079.46	Professional		$2,290.87	$3,388.44	$7,079.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $21,379.62	Facility		$4,265.80	$4,265.80	$21,379.62
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,630.27 / $2,630.27 / $13,489.63	Facility	62	$2,630.27	$2,630.27	$13,489.63
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