Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $7,413.10 / $10,000.00	Facility		$724.44	$7,413.10	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $17,378.01	Facility		$6,606.93	$10,964.78	$17,378.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,715.35	Facility		$1,995.26	$2,344.23	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,897.79 / $9,549.93	Facility		$831.76	$4,897.79	$9,549.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $6,606.93 / $12,589.25	Facility		$831.76	$6,606.93	$12,589.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,737.80 / $2,398.83	Professional		$891.25	$1,737.80	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,589.25 / $12,589.25	Facility		$8,511.38	$12,589.25	$12,589.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $851.14 / $851.14 / $1,258.93	Facility	AS	$851.14	$851.14	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57