Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,128.61 / $11,748.98	Facility		$891.25	$5,128.61	$11,748.98
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $562.34 / $562.34 / $6,918.31	Facility	50	$562.34	$562.34	$6,918.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,089.30	Facility		$1,122.02	$1,318.26	$2,089.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,162.28 / $5,888.44	Facility		$436.52	$3,162.28	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $7,244.36 / $12,302.69	Facility		$436.52	$7,244.36	$12,302.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,023.29 / $1,513.56	Professional		$562.34	$1,023.29	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $8,709.64	Facility		$5,888.44	$5,888.44	$8,709.64
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $588.84 / $588.84 / $870.96	Facility	AS	$588.84	$588.84	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57