Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $29,512.09 / $29,512.09	Facility		$1,096.48	$29,512.09	$29,512.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
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 / $2,691.53 / $7,943.28	Facility		$1,288.25	$2,691.53	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,235.94 / $5,128.61	Professional		$1,659.59	$3,235.94	$5,128.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $14,454.40 / $14,454.40	Facility		$3,090.30	$14,454.40	$14,454.40
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $309.03 / $309.03 / $1,445.44	Facility	AS	$309.03	$309.03	$1,445.44
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