Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $6,025.60 / $6,456.54	Facility		$977.24	$6,025.60	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,232.93 / $18,197.01	Facility		$6,165.95	$10,232.93	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $2,290.87	Facility		$1,230.27	$1,412.54	$2,290.87
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $977.24 / $977.24 / $977.24	Facility	22	$977.24	$977.24	$977.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $616.60 / $3,548.13	Facility		$457.09	$616.60	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $645.65 / $8,128.31	Facility		$457.09	$645.65	$8,128.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $977.24 / $1,513.56	Professional		$549.54	$977.24	$1,513.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $19,952.62	Facility		$13,489.63	$13,489.63	$19,952.62
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