Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,630.78 / $14,454.40	Facility		$1,621.81	$3,630.78	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $27,542.29	Facility		$11,748.98	$16,218.10	$27,542.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,248.07 / $8,511.38	Facility		$4,570.88	$5,248.07	$8,511.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $6,918.31 / $13,489.63	Facility		$1,905.46	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $7,943.28	Facility		$1,778.28	$3,388.44	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,677.35 / $7,585.78	Professional		$2,398.83	$4,677.35	$7,585.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $25,703.96 / $25,703.96	Facility		$4,570.88	$25,703.96	$25,703.96
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $457.09 / $457.09 / $2,570.40	Facility	AS	$457.09	$457.09	$2,570.40
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