Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,466.84 / $14,454.40	Facility		$2,187.76	$4,466.84	$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 $5,495.41 / $6,456.54 / $10,232.93	Facility		$5,495.41	$6,456.54	$10,232.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,918.31 / $13,489.63	Facility		$2,344.23	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,801.89 / $9,120.11	Facility		$2,187.76	$3,801.89	$9,120.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $8,317.64	Professional		$2,511.89	$4,897.79	$8,317.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $22,387.21 / $22,387.21	Facility		$5,495.41	$22,387.21	$22,387.21
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $3,467.37 / $3,467.37 / $13,803.84	Facility	62	$3,467.37	$3,467.37	$13,803.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $549.54 / $549.54 / $2,238.72	Facility	AS	$549.54	$549.54	$2,238.72
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