Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,659.59 / $14,454.40	Facility		$891.25	$1,659.59	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,454.71 / $3,890.45	Facility		$2,089.30	$2,454.71	$3,890.45
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	AS	$144.54	$144.54	$144.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,071.52 / $8,128.31	Facility		$776.25	$1,071.52	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $4,786.30	Facility		$812.83	$1,096.48	$4,786.30
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	AS	$389.05	$389.05	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $2,884.03	Professional		$1,023.29	$1,862.09	$2,884.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,585.78 / $7,585.78	Facility		$2,089.30	$7,585.78	$7,585.78
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $208.93 / $208.93 / $758.58	Facility	AS	$208.93	$208.93	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93