Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $14,454.40	Facility		$977.24	$1,819.70	$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 $2,290.87 / $2,630.27 / $4,265.80	Facility		$2,290.87	$2,630.27	$4,265.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	AS	$158.49	$158.49	$158.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $3,548.13	Facility		$851.14	$1,174.90	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $9,772.37	Facility		$891.25	$1,230.27	$9,772.37
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $426.58 / $426.58 / $426.58	Facility	AS	$426.58	$426.58	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,041.74 / $3,162.28	Professional		$1,122.02	$2,041.74	$3,162.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,244.36 / $7,244.36	Facility		$2,290.87	$7,244.36	$7,244.36
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $229.09 / $229.09 / $724.44	Facility	AS	$229.09	$229.09	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $14,454.40	Facility		$6,606.93	$10,232.93	$14,454.40