Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $13,489.63 / $23,442.29	Facility		$251.19	$13,489.63	$23,442.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,589.25 / $20,892.96	Facility		$9,120.11	$12,589.25	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
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 $1,023.29 / $1,445.44 / $8,128.31	Facility		$1,023.29	$1,445.44	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $14,125.38	Facility		$1,023.29	$1,479.11	$14,125.38
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility	AS	$2,630.27	$2,630.27	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $3,890.45	Professional		$1,380.38	$2,511.89	$3,890.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $27,542.29 / $27,542.29	Facility		$18,620.87	$27,542.29	$27,542.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,862.09 / $1,862.09 / $2,754.23	Facility	AS	$1,862.09	$1,862.09	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79