Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,258.93 / $8,317.64	Facility		$398.11	$1,258.93	$8,317.64
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 $933.25 / $1,096.48 / $1,737.80	Facility		$933.25	$1,096.48	$1,737.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	AS	$64.57	$64.57	$64.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $489.78 / $8,128.31	Facility		$346.74	$489.78	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $524.81 / $13,182.57	Facility		$363.08	$524.81	$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 $457.09 / $831.76 / $1,288.25	Professional		$457.09	$831.76	$1,288.25
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