Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,548.82 / $14,454.40	Facility		$707.95	$1,548.82	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $22,387.21	Facility		$9,120.11	$12,882.50	$22,387.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,630.78	Facility		$1,949.84	$2,238.72	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $6,760.83 / $13,489.63	Facility		$758.58	$6,760.83	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,818.38 / $7,943.28	Facility		$758.58	$2,818.38	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $3,235.94	Professional		$1,000.00	$1,905.46	$3,235.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $11,481.54 / $11,481.54	Facility		$1,949.84	$11,481.54	$11,481.54
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $194.98 / $194.98 / $1,148.15	Facility	AS	$194.98	$194.98	$1,148.15
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