Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $14,454.40	Facility		$1,479.11	$2,754.23	$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 $3,467.37 / $3,981.07 / $6,456.54	Facility		$3,467.37	$3,981.07	$6,456.54
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	22	$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $239.88 / $239.88 / $239.88	Facility	AS	$239.88	$239.88	$239.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $8,128.31	Facility		$1,258.93	$1,698.24	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $7,244.36	Facility		$1,258.93	$1,737.80	$7,244.36
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	AS	$630.96	$630.96	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,019.95 / $4,677.35	Professional		$1,659.59	$3,019.95	$4,677.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $12,589.25 / $12,589.25	Facility		$3,467.37	$12,589.25	$12,589.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $346.74 / $346.74 / $1,258.93	Facility	AS	$346.74	$346.74	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11