Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,456.54 / $15,135.61	Facility		$812.83	$6,456.54	$15,135.61
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 $1,659.59 / $1,905.46 / $3,090.30	Facility		$1,659.59	$1,905.46	$3,090.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $4,265.80 / $7,762.47	Facility		$741.31	$4,265.80	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $10,232.93 / $16,595.87	Facility		$741.31	$10,232.93	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,754.23	Professional		$1,122.02	$1,584.89	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $16,982.44 / $16,982.44	Facility		$11,481.54	$16,982.44	$16,982.44
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,148.15 / $1,148.15 / $1,698.24	Facility	AS	$1,148.15	$1,148.15	$1,698.24
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