Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $9,332.54 / $17,378.01	Facility		$2,290.87	$9,332.54	$17,378.01
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility	50	$13,489.63	$13,489.63	$13,489.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $5,370.32	Facility		$2,884.03	$3,388.44	$5,370.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $6,918.31 / $13,489.63	Facility		$1,230.27	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,585.78 / $15,848.93	Facility		$1,230.27	$7,585.78	$15,848.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $4,365.16	Professional		$1,288.25	$2,511.89	$4,365.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $26,915.35 / $26,915.35	Facility		$18,197.01	$26,915.35	$26,915.35
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,819.70 / $1,819.70 / $2,691.53	Facility	AS	$1,819.70	$1,819.70	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87