Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,311.31 / $23,442.29	Facility		$758.58	$3,311.31	$23,442.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $3,311.31	Facility		$1,778.28	$2,089.30	$3,311.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $7,244.36 / $13,489.63	Facility		$758.58	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $7,585.78 / $15,848.93	Facility		$758.58	$7,585.78	$15,848.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,548.82 / $2,187.76	Professional		$812.83	$1,548.82	$2,187.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $17,782.79 / $17,782.79	Facility		$12,022.64	$17,782.79	$17,782.79
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,202.26 / $1,202.26 / $1,778.28	Facility	AS	$1,202.26	$1,202.26	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87