Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $4,897.79 / $13,489.63	Facility		$524.81	$4,897.79	$13,489.63
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 $1,096.48 / $1,288.25 / $2,041.74	Facility		$1,096.48	$1,288.25	$2,041.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	AS	$70.79	$70.79	$70.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $4,365.16	Facility		$407.38	$602.56	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $660.69 / $13,182.57	Facility		$407.38	$660.69	$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 $478.63 / $870.96 / $1,348.96	Professional		$478.63	$870.96	$1,348.96
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