Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $14,454.40	Facility		$1,479.11	$2,754.23	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $22,387.21	Facility		$9,120.11	$12,882.50	$22,387.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,981.07 / $6,309.57	Facility		$3,388.44	$3,981.07	$6,309.57
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility	22	$2,818.38	$2,818.38	$2,818.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	AS	$234.42	$234.42	$234.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $8,709.64	Facility		$1,288.25	$1,778.28	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $12,882.50	Facility		$1,348.96	$1,862.09	$12,882.50
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	AS	$630.96	$630.96	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $4,677.35	Professional		$1,659.59	$3,019.95	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $12,589.25 / $12,589.25	Facility		$3,388.44	$12,589.25	$12,589.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $338.84 / $338.84 / $1,258.93	Facility	AS	$338.84	$338.84	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $12,022.64 / $16,218.10	Facility		$5,248.07	$12,022.64	$16,218.10