Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $6,025.60 / $10,964.78	Facility		$537.03	$6,025.60	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $1,258.93	Facility		$676.08	$794.33	$1,258.93
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	52	$346.74	$346.74	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $338.84 / $5,248.07	Facility		$239.88	$338.84	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $398.11 / $7,762.47	Facility		$251.19	$398.11	$7,762.47
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility	52	$6,025.60	$6,025.60	$6,025.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $851.14	Professional		$302.00	$549.54	$851.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $7,943.28	Facility		$5,370.32	$7,943.28	$7,943.28
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $4,265.80 / $4,265.80 / $6,309.57	Facility	52	$4,265.80	$4,265.80	$6,309.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11