Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $14,454.40	Facility		$1,202.26	$2,454.71	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,623.41	Facility		$3,019.95	$3,548.13	$5,623.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,760.83 / $13,489.63	Facility		$1,202.26	$6,760.83	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,818.38 / $7,943.28	Facility		$1,202.26	$2,818.38	$7,943.28
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 $3,019.95 / $10,964.78 / $10,964.78	Facility		$3,019.95	$10,964.78	$10,964.78
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $302.00 / $302.00 / $1,096.48	Facility	AS	$302.00	$302.00	$1,096.48
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