Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,187.76 / $14,454.40	Facility		$1,000.00	$2,187.76	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $19,054.61	Facility		$6,606.93	$10,964.78	$19,054.61
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 $1,071.52 / $6,918.31 / $13,489.63	Facility		$1,071.52	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,818.38 / $7,943.28	Facility		$1,071.52	$2,818.38	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $3,801.89	Professional		$1,412.54	$2,754.23	$3,801.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $16,218.10 / $16,218.10	Facility		$2,754.23	$16,218.10	$16,218.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $1,621.81	Facility	AS	$275.42	$275.42	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45