Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $17,782.79 / $28,840.32	Facility		$1,258.93	$17,782.79	$28,840.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $29,512.09	Facility		$11,220.18	$16,982.44	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,715.35 / $5,888.44	Facility		$3,162.28	$3,715.35	$5,888.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,079.46 / $13,489.63	Facility		$1,348.96	$7,079.46	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $9,549.93 / $17,378.01	Facility		$1,348.96	$9,549.93	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $4,786.30	Professional		$1,445.44	$2,818.38	$4,786.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $22,387.21 / $22,387.21	Facility		$14,791.08	$22,387.21	$22,387.21
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,479.11 / $1,479.11 / $2,238.72	Facility	AS	$1,479.11	$1,479.11	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79