Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $14,454.40	Facility		$1,174.90	$2,187.76	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $14,125.38	Facility		$5,011.87	$8,128.31	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	AS	$181.97	$181.97	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $8,128.31	Facility		$1,000.00	$1,380.38	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $5,888.44	Facility		$1,023.29	$1,445.44	$5,888.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	AS	$489.78	$489.78	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $3,630.78	Professional		$1,318.26	$2,344.23	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,413.10 / $7,413.10	Facility		$2,754.23	$7,413.10	$7,413.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $741.31	Facility	AS	$275.42	$275.42	$741.31
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