Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $14,454.40	Facility		$1,380.38	$2,570.40	$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 $3,235.94 / $3,801.89 / $6,025.60	Facility		$3,235.94	$3,801.89	$6,025.60
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	22	$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	AS	$223.87	$223.87	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $8,128.31	Facility		$1,148.15	$1,621.81	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $5,888.44	Facility		$1,174.90	$1,698.24	$5,888.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $602.56 / $602.56 / $602.56	Facility	AS	$602.56	$602.56	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $4,466.84	Professional		$1,584.89	$2,884.03	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $11,748.98 / $11,748.98	Facility		$3,235.94	$11,748.98	$11,748.98
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $323.59 / $323.59 / $1,174.90	Facility	AS	$323.59	$323.59	$1,174.90
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