Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $13,803.84 / $18,197.01	Facility		$2,630.27	$13,803.84	$18,197.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $6,165.95	Facility		$3,311.31	$3,890.45	$6,165.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,760.83 / $13,489.63	Facility		$1,288.25	$6,760.83	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $7,585.78 / $15,848.93	Facility		$1,288.25	$7,585.78	$15,848.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,951.21 / $4,466.84	Professional		$1,548.82	$2,951.21	$4,466.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $13,803.84 / $13,803.84	Facility		$9,120.11	$13,803.84	$13,803.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $912.01 / $912.01 / $1,380.38	Facility	AS	$912.01	$912.01	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,218.10	Facility		$7,585.78	$12,302.69	$16,218.10