Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $14,454.40	Facility		$1,737.80	$3,235.94	$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 $4,073.80 / $4,786.30 / $7,585.78	Facility		$4,073.80	$4,786.30	$7,585.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $8,709.64	Facility		$1,479.11	$2,137.96	$8,709.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $5,888.44	Facility		$1,584.89	$2,187.76	$5,888.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $5,623.41	Professional		$2,041.74	$3,630.78	$5,623.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $15,135.61	Facility		$4,073.80	$4,073.80	$15,135.61
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