Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,698.24 / $18,620.87	Facility		$776.25	$1,698.24	$18,620.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $28,840.32	Facility		$12,022.64	$16,982.44	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,981.07	Facility		$2,137.96	$2,511.89	$3,981.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,413.10 / $14,791.08	Facility		$891.25	$7,413.10	$14,791.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $10,232.93 / $17,378.01	Facility		$891.25	$10,232.93	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,862.09 / $2,818.38	Professional		$954.99	$1,862.09	$2,818.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $27,542.29	Facility		$18,620.87	$18,620.87	$27,542.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,862.09 / $1,862.09 / $2,754.23	Facility	AS	$1,862.09	$1,862.09	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79