Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $14,454.40	Facility		$1,202.26	$2,238.72	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,803.84	Facility		$5,011.87	$8,317.64	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,248.07	Facility		$2,754.23	$3,235.94	$5,248.07
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 / $1,380.38 / $7,244.36	Facility		$1,023.29	$1,380.38	$7,244.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $5,888.44	Facility		$1,047.13	$1,479.11	$5,888.44
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 $1,380.38 / $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 $2,754.23 / $10,232.93 / $10,232.93	Facility		$2,754.23	$10,232.93	$10,232.93
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $1,023.29	Facility	AS	$275.42	$275.42	$1,023.29
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