Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $14,454.40	Facility		$1,778.28	$2,884.03	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $30,199.52	Facility		$12,882.50	$18,197.01	$30,199.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,606.93	Facility		$3,548.13	$4,168.69	$6,606.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,413.10 / $14,454.40	Facility		$1,621.81	$7,413.10	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,388.44 / $9,549.93	Facility		$1,621.81	$3,388.44	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $6,025.60	Professional		$2,454.71	$3,467.37	$6,025.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $18,197.01	Facility		$3,630.78	$3,630.78	$18,197.01
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,238.72 / $2,238.72 / $11,481.54	Facility	62	$2,238.72	$2,238.72	$11,481.54
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $363.08 / $363.08 / $1,819.70	Facility	AS	$363.08	$363.08	$1,819.70
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