Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $26,302.68 / $38,018.94	Facility		$8,912.51	$26,302.68	$38,018.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $17,378.01 / $30,199.52	Facility		$12,882.50	$17,378.01	$30,199.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,548.13 / $5,754.40	Facility		$3,019.95	$3,548.13	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,413.10 / $13,489.63	Facility		$1,288.25	$7,413.10	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $12,302.69 / $23,988.33	Facility		$1,288.25	$12,302.69	$23,988.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $4,466.84	Professional		$1,412.54	$2,754.23	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $22,387.21 / $22,387.21	Facility		$14,791.08	$22,387.21	$22,387.21
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $11,748.98 / $11,748.98 / $17,782.79	Facility	52	$11,748.98	$11,748.98	$17,782.79
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $9,120.11 / $9,120.11 / $13,803.84	Facility	62	$9,120.11	$9,120.11	$13,803.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,479.11 / $1,479.11 / $2,238.72	Facility	AS	$1,479.11	$1,479.11	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $22,387.21	Facility		$8,709.64	$16,982.44	$22,387.21