Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $14,454.40	Facility		$1,737.80	$3,235.94	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $12,882.50 / $22,908.68	Facility		$9,332.54	$12,882.50	$22,908.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,786.30 / $7,585.78	Facility		$4,073.80	$4,786.30	$7,585.78
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility	22	$3,388.44	$3,388.44	$3,388.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	AS	$281.84	$281.84	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $8,912.51	Facility		$1,479.11	$2,137.96	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $6,165.95	Facility		$1,584.89	$2,187.76	$6,165.95
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $758.58 / $758.58 / $758.58	Facility	AS	$758.58	$758.58	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $5,495.41	Professional		$1,995.26	$3,548.13	$5,495.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $14,791.08	Facility		$4,073.80	$4,073.80	$14,791.08
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $407.38 / $407.38 / $1,479.11	Facility	AS	$407.38	$407.38	$1,479.11
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