Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $14,454.40	Facility		$758.58	$1,548.82	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $29,512.09	Facility		$13,803.84	$18,620.87	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,630.78	Facility		$1,949.84	$2,290.87	$3,630.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,570.40 / $4,897.79	Facility		$831.76	$2,570.40	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $12,022.64 / $23,442.29	Facility		$831.76	$12,022.64	$23,442.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,737.80 / $2,951.21	Professional		$891.25	$1,737.80	$2,951.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66,069.34 / $97,723.72 / $97,723.72	Facility		$66,069.34	$97,723.72	$97,723.72
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $6,606.93 / $6,606.93 / $9,772.37	Facility	AS	$6,606.93	$6,606.93	$9,772.37
United Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $19,498.45 / $25,118.86	Facility		$10,000.00	$19,498.45	$25,118.86