Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,890.45 / $14,454.40	Facility		$2,089.30	$3,890.45	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $14,125.38	Facility		$5,011.87	$7,943.28	$14,125.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,754.40 / $9,120.11	Facility		$4,897.79	$5,754.40	$9,120.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,011.87 / $9,332.54	Facility		$2,089.30	$5,011.87	$9,332.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,079.46 / $12,589.25	Facility		$2,089.30	$7,079.46	$12,589.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,466.84 / $6,456.54	Professional		$2,290.87	$4,466.84	$6,456.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $15,488.17	Facility		$4,897.79	$4,897.79	$15,488.17
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $489.78 / $489.78 / $1,548.82	Facility	AS	$489.78	$489.78	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25