Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,290.87 / $14,454.40	Facility		$1,230.27	$2,290.87	$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 $2,884.03 / $3,311.31 / $5,370.32	Facility		$2,884.03	$3,311.31	$5,370.32
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	22	$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.55 / $190.55 / $190.55	Facility	AS	$190.55	$190.55	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $8,912.51	Facility		$1,047.13	$1,445.44	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $10,471.29	Facility		$1,071.52	$1,513.56	$10,471.29
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	AS	$512.86	$512.86	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $3,801.89	Professional		$1,348.96	$2,454.71	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $8,912.51	Facility		$2,818.38	$2,818.38	$8,912.51
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $281.84 / $281.84 / $891.25	Facility	AS	$281.84	$281.84	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,471.29 / $16,982.44	Facility		$6,309.57	$10,471.29	$16,982.44