Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $14,454.40	Facility		$1,047.13	$2,137.96	$14,454.40
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 $2,630.27 / $3,090.30 / $4,897.79	Facility		$2,630.27	$3,090.30	$4,897.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $6,918.31 / $13,489.63	Facility		$1,122.02	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,691.53 / $7,943.28	Facility		$1,122.02	$2,691.53	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $3,981.07	Professional		$1,202.26	$2,344.23	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $9,549.93 / $9,549.93	Facility		$2,630.27	$9,549.93	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45