Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $16,595.87 / $24,547.09	Facility		$3,311.31	$16,595.87	$24,547.09
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 $2,290.87 / $2,691.53 / $4,365.16	Facility		$2,290.87	$2,691.53	$4,365.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $6,760.83 / $13,489.63	Facility		$891.25	$6,760.83	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $9,772.37 / $16,982.44	Facility		$891.25	$9,772.37	$16,982.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,090.30	Professional		$1,071.52	$2,089.30	$3,090.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,218.10 / $16,218.10	Facility		$10,964.78	$16,218.10	$16,218.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,096.48 / $1,096.48 / $1,621.81	Facility	AS	$1,096.48	$1,096.48	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,378.01	Facility		$8,912.51	$13,803.84	$17,378.01