Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $12,022.64 / $29,512.09	Facility		$1,174.90	$12,022.64	$29,512.09
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 $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility	22	$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	AS	$181.97	$181.97	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $7,943.28	Facility		$1,000.00	$1,412.54	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $13,182.57	Facility		$1,023.29	$1,445.44	$13,182.57
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility	AS	$1,584.89	$1,584.89	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $3,388.44	Professional		$1,202.26	$2,137.96	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,122.02 / $1,122.02 / $1,659.59	Facility	AS	$1,122.02	$1,122.02	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10