Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,019.95 / $14,454.40	Facility		$1,621.81	$3,019.95	$14,454.40
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 $3,801.89 / $4,466.84 / $7,079.46	Facility		$3,801.89	$4,466.84	$7,079.46
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	AS	$263.03	$263.03	$263.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $8,511.38	Facility		$1,412.54	$1,995.26	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $5,888.44	Facility		$1,479.11	$2,041.74	$5,888.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	AS	$707.95	$707.95	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $5,128.61	Professional		$1,819.70	$3,311.31	$5,128.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $13,803.84 / $13,803.84	Facility		$3,801.89	$13,803.84	$13,803.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $380.19 / $380.19 / $1,380.38	Facility	AS	$380.19	$380.19	$1,380.38
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