Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $14,454.40 / $29,512.09	Facility		$2,137.96	$14,454.40	$29,512.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $22,908.68	Facility		$9,120.11	$12,882.50	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,090.30 / $5,011.87	Facility		$2,691.53	$3,090.30	$5,011.87
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	22	$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $8,912.51	Facility		$1,096.48	$1,445.44	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $14,125.38	Facility		$1,071.52	$1,479.11	$14,125.38
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $501.19 / $501.19 / $501.19	Facility	AS	$501.19	$501.19	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $3,630.78	Professional		$1,288.25	$2,344.23	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $14,791.08	Facility		$2,691.53	$2,691.53	$14,791.08
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $269.15 / $269.15 / $1,479.11	Facility	AS	$269.15	$269.15	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $13,803.84 / $17,378.01	Facility		$8,709.64	$13,803.84	$17,378.01