Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,890.45 / $14,454.40	Facility		$2,089.30	$3,890.45	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $9,120.11	Facility		$4,897.79	$5,754.40	$9,120.11
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility	22	$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $331.13 / $331.13 / $331.13	Facility	AS	$331.13	$331.13	$331.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $8,912.51	Facility		$1,778.28	$2,511.89	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $6,165.95	Facility		$1,778.28	$2,511.89	$6,165.95
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	AS	$891.25	$891.25	$891.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $6,606.93	Professional		$2,344.23	$4,265.80	$6,606.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $17,782.79	Facility		$4,897.79	$4,897.79	$17,782.79
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $489.78 / $489.78 / $1,778.28	Facility	AS	$489.78	$489.78	$1,778.28
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