Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $17,782.79 / $30,199.52	Facility		$676.08	$17,782.79	$30,199.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $14,125.38	Facility		$5,011.87	$8,317.64	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,951.21	Facility		$1,584.89	$1,862.09	$2,951.21
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility	22	$1,318.26	$1,318.26	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $831.76 / $8,128.31	Facility		$588.84	$831.76	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $10,471.29	Facility		$616.60	$891.25	$10,471.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $2,187.76	Professional		$794.33	$1,412.54	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,317.64 / $8,317.64	Facility		$5,370.32	$8,317.64	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40