Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,630.27 / $14,454.40	Facility		$1,202.26	$2,630.27	$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 $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 / $6,918.31 / $13,489.63	Facility		$1,288.25	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,818.38 / $7,943.28	Facility		$1,288.25	$2,818.38	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $4,570.88	Professional		$1,698.24	$3,311.31	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $19,952.62 / $19,952.62	Facility		$3,311.31	$19,952.62	$19,952.62
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