Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $26,302.68 / $30,902.95	Facility		$123.03	$26,302.68	$30,902.95
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 $3,311.31 / $3,890.45 / $6,165.95	Facility		$3,311.31	$3,890.45	$6,165.95
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 $1,230.27 / $1,737.80 / $8,128.31	Facility		$1,230.27	$1,737.80	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $5,888.44	Facility		$1,288.25	$1,819.70	$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 $3,311.31 / $12,022.64 / $12,022.64	Facility		$3,311.31	$12,022.64	$12,022.64
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $331.13 / $331.13 / $1,202.26	Facility	AS	$331.13	$331.13	$1,202.26
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