Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $14,454.40	Facility		$977.24	$1,819.70	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $11,220.18 / $18,197.01	Facility		$6,606.93	$11,220.18	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,265.80	Facility		$2,290.87	$2,691.53	$4,265.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $6,760.83 / $13,489.63	Facility		$977.24	$6,760.83	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,818.38 / $7,943.28	Facility		$977.24	$2,818.38	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,995.26 / $2,818.38	Professional		$1,047.13	$1,995.26	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $8,128.31 / $8,128.31	Facility		$2,290.87	$8,128.31	$8,128.31
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $229.09 / $229.09 / $812.83	Facility	AS	$229.09	$229.09	$812.83
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