Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,090.30 / $9,772.37	Facility		$891.25	$3,090.30	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,454.71 / $3,981.07	Facility		$2,137.96	$2,454.71	$3,981.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.04 / $138.04 / $138.04	Facility	AS	$138.04	$138.04	$138.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $3,548.13	Facility		$776.25	$1,047.13	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $10,471.29	Facility		$776.25	$1,096.48	$10,471.29
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 $1,023.29 / $1,862.09 / $2,884.03	Professional		$1,023.29	$1,862.09	$2,884.03
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 $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25