Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $9,332.54 / $28,840.32	Facility		$3,388.44	$9,332.54	$28,840.32
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 $4,168.69 / $4,897.79 / $7,943.28	Facility		$4,168.69	$4,897.79	$7,943.28
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility	22	$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility	62	$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	AS	$295.12	$295.12	$295.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $8,912.51	Facility		$1,659.59	$2,238.72	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $15,135.61	Facility		$1,659.59	$2,344.23	$15,135.61
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility	62	$13,182.57	$13,182.57	$13,182.57
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility	AS	$2,089.30	$2,089.30	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $5,888.44	Professional		$2,089.30	$3,801.89	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $22,387.21	Facility		$14,791.08	$14,791.08	$22,387.21
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $9,120.11 / $9,120.11 / $13,803.84	Facility	62	$9,120.11	$9,120.11	$13,803.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,479.11 / $1,479.11 / $2,238.72	Facility	AS	$1,479.11	$1,479.11	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79