Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,890.45 / $14,454.40	Facility		$1,949.84	$3,890.45	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $9,120.11	Facility		$4,897.79	$5,754.40	$9,120.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,918.31 / $13,489.63	Facility		$2,089.30	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $8,709.64	Facility		$1,949.84	$3,715.35	$8,709.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $4,365.16 / $7,413.10	Professional		$2,238.72	$4,365.16	$7,413.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $19,498.45 / $19,498.45	Facility		$4,897.79	$19,498.45	$19,498.45
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