Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,309.57 / $8,317.64	Facility		$1,380.38	$6,309.57	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,073.80 / $4,073.80 / $20,417.38	Facility	50	$4,073.80	$4,073.80	$20,417.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $20,892.96	Facility		$9,120.11	$12,882.50	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $6,918.31	Facility		$3,715.35	$4,365.16	$6,918.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,760.83 / $13,489.63	Facility		$1,380.38	$6,760.83	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,495.41 / $8,317.64	Facility		$1,380.38	$5,495.41	$8,317.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $5,495.41	Professional		$1,659.59	$3,162.28	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $11,481.54 / $11,481.54	Facility		$3,715.35	$11,481.54	$11,481.54
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $2,951.21 / $2,951.21 / $9,332.54	Facility	52	$2,951.21	$2,951.21	$9,332.54
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $2,290.87 / $2,290.87 / $7,244.36	Facility	62	$2,290.87	$2,290.87	$7,244.36
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $371.54 / $371.54 / $1,148.15	Facility	AS	$371.54	$371.54	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,413.10 / $9,120.11	Facility		$4,168.69	$7,413.10	$9,120.11