Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $20,417.38 / $38,018.94	Facility		$3,388.44	$20,417.38	$38,018.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $12,882.50 / $23,442.29	Facility		$9,332.54	$12,882.50	$23,442.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,011.87 / $7,943.28	Facility		$4,265.80	$5,011.87	$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 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 $1,584.89 / $2,290.87 / $8,511.38	Facility		$1,584.89	$2,290.87	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $14,125.38	Facility		$1,659.59	$2,570.40	$14,125.38
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	AS	$794.33	$794.33	$794.33
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 $4,265.80 / $23,442.29 / $23,442.29	Facility		$4,265.80	$23,442.29	$23,442.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $426.58 / $426.58 / $2,344.23	Facility	AS	$426.58	$426.58	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $13,489.63 / $17,378.01	Facility		$7,413.10	$13,489.63	$17,378.01