Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $14,454.40	Facility		$1,737.80	$2,818.38	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
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 $1,737.80 / $7,244.36 / $13,489.63	Facility		$1,737.80	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,019.95 / $7,943.28	Facility		$1,584.89	$3,019.95	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $5,888.44	Professional		$2,398.83	$3,388.44	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $25,703.96 / $25,703.96	Facility		$3,548.13	$25,703.96	$25,703.96
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,187.76 / $2,187.76 / $16,218.10	Facility	62	$2,187.76	$2,187.76	$16,218.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $354.81 / $354.81 / $2,570.40	Facility	AS	$354.81	$354.81	$2,570.40
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