Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $14,454.40	Facility		$1,174.90	$1,905.46	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,818.38 / $4,466.84	Facility		$2,398.83	$2,818.38	$4,466.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $7,244.36 / $13,489.63	Facility		$1,096.48	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $10,232.93 / $16,595.87	Facility		$1,096.48	$10,232.93	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $3,981.07	Professional		$1,659.59	$2,344.23	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $13,803.84 / $13,803.84	Facility		$9,120.11	$13,803.84	$13,803.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $912.01 / $912.01 / $1,380.38	Facility	AS	$912.01	$912.01	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,378.01	Facility		$8,912.51	$13,803.84	$17,378.01