Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $14,454.40	Facility		$1,949.84	$3,715.35	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $12,882.50 / $22,387.21	Facility		$9,120.11	$12,882.50	$22,387.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $8,709.64	Facility		$4,677.35	$5,495.41	$8,709.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,760.83 / $13,489.63	Facility		$1,949.84	$6,760.83	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,548.13 / $7,943.28	Facility		$1,949.84	$3,548.13	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $5,888.44	Professional		$2,187.76	$4,265.80	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $18,620.87 / $18,620.87	Facility		$4,570.88	$18,620.87	$18,620.87
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