Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,412.54 / $14,454.40	Facility		$758.58	$1,412.54	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $8,709.64	Facility		$3,311.31	$4,786.30	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,311.31	Facility		$1,778.28	$2,089.30	$3,311.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	AS	$117.49	$117.49	$117.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $3,548.13	Facility		$616.60	$851.14	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $9,772.37	Facility		$616.60	$891.25	$9,772.37
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 $831.76 / $1,479.11 / $2,290.87	Professional		$831.76	$1,479.11	$2,290.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $7,943.28	Facility		$5,370.32	$7,943.28	$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