Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $18,197.01 / $18,197.01	Facility		$1,071.52	$18,197.01	$18,197.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,803.84	Facility		$5,011.87	$8,317.64	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $4,677.35	Facility		$2,511.89	$2,951.21	$4,677.35
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility	22	$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	AS	$169.82	$169.82	$169.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $8,128.31	Facility		$933.25	$1,288.25	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $5,888.44	Facility		$977.24	$1,380.38	$5,888.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $457.09 / $457.09 / $457.09	Facility	AS	$457.09	$457.09	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $3,388.44	Professional		$1,202.26	$2,187.76	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $9,120.11 / $9,120.11	Facility		$2,511.89	$9,120.11	$9,120.11
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $251.19 / $251.19 / $912.01	Facility	AS	$251.19	$251.19	$912.01
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