Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $6,918.31 / $15,488.17	Facility		$691.83	$6,918.31	$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 $870.96 / $1,023.29 / $1,621.81	Facility		$870.96	$1,023.29	$1,621.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	AS	$58.88	$58.88	$58.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $457.09 / $8,128.31	Facility		$316.23	$457.09	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $501.19 / $13,182.57	Facility		$331.13	$501.19	$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 $426.58 / $776.25 / $1,202.26	Professional		$426.58	$776.25	$1,202.26
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