Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,548.82 / $14,454.40	Facility		$933.25	$1,548.82	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,548.13	Facility		$1,905.46	$2,238.72	$3,548.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,244.36 / $13,489.63	Facility		$933.25	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $7,079.46 / $12,302.69	Facility		$870.96	$7,079.46	$12,302.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $3,162.28	Professional		$1,288.25	$1,862.09	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $7,943.28 / $7,943.28	Facility		$5,248.07	$7,943.28	$7,943.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $794.33	Facility	AS	$524.81	$524.81	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25