Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,148.15 / $14,454.40	Facility		$616.60	$1,148.15	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $13,182.57	Facility		$5,011.87	$8,317.64	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,691.53	Facility		$1,445.44	$1,659.59	$2,691.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	AS	$97.72	$97.72	$97.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $741.31 / $5,248.07	Facility		$537.03	$741.31	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $9,772.37	Facility		$549.54	$794.33	$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 $724.44 / $1,288.25 / $2,041.74	Professional		$724.44	$1,288.25	$2,041.74
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