Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $14,454.40	Facility		$1,174.90	$2,187.76	$14,454.40
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 $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	AS	$181.97	$181.97	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $8,912.51	Facility		$1,000.00	$1,380.38	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $6,165.95	Facility		$1,047.13	$1,479.11	$6,165.95
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	AS	$489.78	$489.78	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $3,715.35	Professional		$1,318.26	$2,398.83	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $9,772.37	Facility		$2,754.23	$2,754.23	$9,772.37
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $977.24	Facility	AS	$275.42	$275.42	$977.24
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