Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,905.46 / $5,754.40	Facility		$676.08	$1,905.46	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
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 AS Low / Median / High Price $104.71 / $104.71 / $104.71	Facility	AS	$104.71	$104.71	$104.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $3,548.13	Facility		$575.44	$794.33	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $7,762.47	Facility		$588.84	$812.83	$7,762.47
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $758.58 / $758.58 / $758.58	Facility	AS	$758.58	$758.58	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $2,238.72	Professional		$794.33	$1,445.44	$2,238.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $7,943.28	Facility		$5,370.32	$5,370.32	$7,943.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $537.03 / $537.03 / $794.33	Facility	AS	$537.03	$537.03	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11