Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,090.30 / $14,454.40	Facility		$1,698.24	$3,090.30	$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 $3,890.45 / $4,570.88 / $7,244.36	Facility		$3,890.45	$4,570.88	$7,244.36
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility	22	$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	AS	$269.15	$269.15	$269.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $8,511.38	Facility		$1,445.44	$1,949.84	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $5,888.44	Facility		$1,445.44	$2,041.74	$5,888.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	AS	$724.44	$724.44	$724.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $5,248.07	Professional		$1,905.46	$3,388.44	$5,248.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $14,125.38 / $14,125.38	Facility		$3,890.45	$14,125.38	$14,125.38
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $389.05 / $389.05 / $1,412.54	Facility	AS	$389.05	$389.05	$1,412.54
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