Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,548.13 / $14,454.40	Facility		$1,949.84	$3,548.13	$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 $4,466.84 / $5,248.07 / $8,317.64	Facility		$4,466.84	$5,248.07	$8,317.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $8,128.31	Facility		$1,698.24	$2,344.23	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $5,754.40	Facility		$1,737.80	$2,398.83	$5,754.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,981.07 / $6,165.95	Professional		$2,238.72	$3,981.07	$6,165.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $18,620.87 / $18,620.87	Facility		$4,466.84	$18,620.87	$18,620.87
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