Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,365.16 / $4,365.16	Facility		$912.01	$4,365.16	$4,365.16
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 $2,137.96 / $2,511.89 / $3,981.07	Facility		$2,137.96	$2,511.89	$3,981.07
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility	52	$1,148.15	$1,148.15	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $8,128.31	Facility		$776.25	$1,096.48	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $5,754.40	Facility		$812.83	$1,148.15	$5,754.40
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility	52	$3,090.30	$3,090.30	$3,090.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $2,884.03	Professional		$1,047.13	$1,862.09	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,762.47 / $7,762.47	Facility		$2,137.96	$7,762.47	$7,762.47
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,698.24 / $1,698.24 / $6,165.95	Facility	52	$1,698.24	$1,698.24	$6,165.95
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