Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $14,454.40	Facility		$1,548.82	$2,511.89	$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 $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,244.36 / $13,489.63	Facility		$1,548.82	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $7,943.28	Facility		$1,412.54	$3,162.28	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $5,248.07	Professional		$2,137.96	$3,019.95	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $12,882.50 / $12,882.50	Facility		$3,162.28	$12,882.50	$12,882.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $316.23 / $316.23 / $1,288.25	Facility	AS	$316.23	$316.23	$1,288.25
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