Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $14,454.40	Facility		$2,041.74	$3,801.89	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,803.84	Facility		$5,011.87	$8,317.64	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,623.41 / $8,912.51	Facility		$4,786.30	$5,623.41	$8,912.51
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $338.84 / $338.84 / $338.84	Facility	AS	$338.84	$338.84	$338.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $8,511.38	Facility		$1,737.80	$2,511.89	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $5,754.40	Facility		$1,819.70	$2,511.89	$5,754.40
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,265.80 / $6,606.93	Professional		$2,398.83	$4,265.80	$6,606.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $26,302.68	Facility		$4,786.30	$4,786.30	$26,302.68
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $478.63 / $478.63 / $2,630.27	Facility	AS	$478.63	$478.63	$2,630.27
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