Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,162.28 / $10,715.19	Facility		$676.08	$3,162.28	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,489.63	Facility		$5,011.87	$8,317.64	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $5,623.41	Facility		$1,584.89	$1,862.09	$5,623.41
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	22	$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	AS	$107.15	$107.15	$107.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $7,943.28	Facility		$588.84	$812.83	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $870.96 / $9,772.37	Facility		$616.60	$870.96	$9,772.37
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $912.01 / $912.01 / $912.01	Facility	AS	$912.01	$912.01	$912.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $2,238.72	Professional		$794.33	$1,445.44	$2,238.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $9,549.93 / $9,549.93	Facility		$6,456.54	$9,549.93	$9,549.93
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $645.65 / $645.65 / $954.99	Facility	AS	$645.65	$645.65	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25