Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $6,309.57 / $27,542.29	Facility		$234.42	$6,309.57	$27,542.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Facility		$549.54	$645.65	$1,023.29
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	22	$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	52	$295.12	$295.12	$295.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $275.42 / $3,548.13	Facility		$208.93	$275.42	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $295.12 / $11,220.18	Facility		$208.93	$295.12	$11,220.18
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility	52	$18,197.01	$18,197.01	$18,197.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $457.09 / $707.95	Professional		$251.19	$457.09	$707.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $23,988.33	Facility		$16,218.10	$16,218.10	$23,988.33
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $12,882.50 / $12,882.50 / $19,054.61	Facility	52	$12,882.50	$12,882.50	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40