Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $14,454.40	Facility		$1,659.59	$3,090.30	$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 $3,890.45 / $4,466.84 / $7,244.36	Facility		$3,890.45	$4,466.84	$7,244.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $8,128.31	Facility		$1,412.54	$1,995.26	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $5,754.40	Facility		$1,513.56	$2,089.30	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,467.37 / $5,370.32	Professional		$1,905.46	$3,467.37	$5,370.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $14,125.38 / $14,125.38	Facility		$3,890.45	$14,125.38	$14,125.38
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