Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,548.13 / $14,454.40	Facility		$1,905.46	$3,548.13	$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 $4,466.84 / $5,128.61 / $8,317.64	Facility		$4,466.84	$5,128.61	$8,317.64
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $302.00 / $302.00 / $302.00	Facility	AS	$302.00	$302.00	$302.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $8,709.64	Facility		$1,584.89	$2,187.76	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $5,888.44	Facility		$1,584.89	$2,238.72	$5,888.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $794.33 / $794.33 / $794.33	Facility	AS	$794.33	$794.33	$794.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,801.89 / $5,888.44	Professional		$2,137.96	$3,801.89	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $15,848.93 / $15,848.93	Facility		$4,466.84	$15,848.93	$15,848.93
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $446.68 / $446.68 / $1,584.89	Facility	AS	$446.68	$446.68	$1,584.89
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