Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,090.30 / $14,454.40	Facility		$1,949.84	$3,090.30	$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 $3,890.45 / $4,570.88 / $7,244.36	Facility		$3,890.45	$4,570.88	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,244.36 / $13,489.63	Facility		$1,949.84	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,388.44 / $7,943.28	Facility		$1,698.24	$3,388.44	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $6,606.93	Professional		$2,691.53	$3,801.89	$6,606.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $16,218.10 / $16,218.10	Facility		$3,890.45	$16,218.10	$16,218.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $389.05 / $389.05 / $1,621.81	Facility	AS	$389.05	$389.05	$1,621.81
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