Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,466.84 / $16,982.44	Facility		$1,348.96	$4,466.84	$16,982.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $30,199.52	Facility		$12,882.50	$17,378.01	$30,199.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,630.78 / $5,888.44	Facility		$3,162.28	$3,630.78	$5,888.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $8,912.51	Facility		$1,174.90	$1,659.59	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $14,125.38	Facility		$1,230.27	$1,698.24	$14,125.38
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $588.84 / $588.84 / $588.84	Facility	AS	$588.84	$588.84	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,818.38 / $4,365.16	Professional		$1,548.82	$2,818.38	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $11,481.54	Facility		$3,162.28	$3,162.28	$11,481.54
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $316.23 / $316.23 / $1,148.15	Facility	AS	$316.23	$316.23	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $13,489.63 / $17,378.01	Facility		$7,079.46	$13,489.63	$17,378.01