Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $14,454.40	Facility		$3,235.94	$6,025.60	$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 $7,585.78 / $8,912.51 / $14,125.38	Facility		$7,585.78	$8,912.51	$14,125.38
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility	22	$6,309.57	$6,309.57	$6,309.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	AS	$524.81	$524.81	$524.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $8,511.38	Facility		$2,818.38	$3,801.89	$8,511.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $6,760.83	Facility		$2,754.23	$3,715.35	$6,760.83
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility	AS	$1,412.54	$1,412.54	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $6,760.83 / $10,471.29	Professional		$3,715.35	$6,760.83	$10,471.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $30,902.95 / $30,902.95	Facility		$7,585.78	$30,902.95	$30,902.95
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $758.58 / $758.58 / $3,090.30	Facility	AS	$758.58	$758.58	$3,090.30
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