Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $12,589.25 / $14,125.38	Facility		$1,000.00	$12,589.25	$14,125.38
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 $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,760.83 / $13,489.63	Facility		$1,047.13	$6,760.83	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $7,585.78 / $15,848.93	Facility		$1,047.13	$7,585.78	$15,848.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $3,715.35	Professional		$1,258.93	$2,454.71	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $16,595.87	Facility		$11,220.18	$16,595.87	$16,595.87
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,122.02 / $1,122.02 / $1,659.59	Facility	AS	$1,122.02	$1,122.02	$1,659.59
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