Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $7,079.46 / $15,135.61	Facility		$467.74	$7,079.46	$15,135.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $691.83 / $1,096.48	Facility		$588.84	$691.83	$1,096.48
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $309.03 / $309.03 / $309.03	Facility	52	$309.03	$309.03	$309.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $323.59 / $3,548.13	Facility		$223.87	$323.59	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $354.81 / $4,897.79	Facility		$223.87	$354.81	$4,897.79
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility	52	$3,715.35	$3,715.35	$3,715.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $741.31	Professional		$263.03	$478.63	$741.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,897.79 / $4,897.79	Facility		$3,311.31	$4,897.79	$4,897.79
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $2,630.27 / $2,630.27 / $3,890.45	Facility	52	$2,630.27	$2,630.27	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93