Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,398.83 / $14,454.40	Facility		$1,288.25	$2,398.83	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,803.84	Facility		$5,011.87	$8,128.31	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,467.37 / $5,623.41	Facility		$2,951.21	$3,467.37	$5,623.41
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility	22	$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	AS	$204.17	$204.17	$204.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $8,128.31	Facility		$1,071.52	$1,479.11	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $5,888.44	Facility		$1,096.48	$1,513.56	$5,888.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	AS	$549.54	$549.54	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $4,073.80	Professional		$1,445.44	$2,630.27	$4,073.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $10,715.19 / $10,715.19	Facility		$2,951.21	$10,715.19	$10,715.19
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $295.12 / $295.12 / $1,071.52	Facility	AS	$295.12	$295.12	$1,071.52
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