Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $14,454.40	Facility		$2,137.96	$3,981.07	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,803.84	Facility		$5,011.87	$8,128.31	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,754.40 / $9,332.54	Facility		$5,011.87	$5,754.40	$9,332.54
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility	22	$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	AS	$346.74	$346.74	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $8,511.38	Facility		$1,778.28	$2,454.71	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $5,888.44	Facility		$1,778.28	$2,454.71	$5,888.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	AS	$933.25	$933.25	$933.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $6,760.83	Professional		$2,454.71	$4,365.16	$6,760.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $18,197.01 / $18,197.01	Facility		$5,011.87	$18,197.01	$18,197.01
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $501.19 / $501.19 / $1,819.70	Facility	AS	$501.19	$501.19	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45