Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $6,456.54 / $15,488.17	Facility		$407.38	$6,456.54	$15,488.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,302.69 / $20,417.38	Facility		$9,120.11	$12,302.69	$20,417.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $977.24 / $1,548.82	Facility		$831.76	$977.24	$1,548.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.23 / $56.23 / $56.23	Facility	AS	$56.23	$56.23	$56.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $436.52 / $8,128.31	Facility		$309.03	$436.52	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $13,182.57	Facility		$316.23	$478.63	$13,182.57
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	AS	$1,548.82	$1,548.82	$1,548.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,148.15	Professional		$407.38	$741.31	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,218.10 / $16,218.10	Facility		$10,964.78	$16,218.10	$16,218.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,096.48 / $1,096.48 / $1,621.81	Facility	AS	$1,096.48	$1,096.48	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10