Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $8,317.64 / $8,317.64	Facility		$776.25	$8,317.64	$8,317.64
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 $1,584.89 / $1,862.09 / $2,951.21	Facility		$1,584.89	$1,862.09	$2,951.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,786.30 / $8,912.51	Facility		$794.33	$4,786.30	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $9,772.37 / $16,595.87	Facility		$724.44	$9,772.37	$16,595.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,630.27	Professional		$1,096.48	$1,548.82	$2,630.27
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