Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,890.45 / $14,454.40	Facility		$1,737.80	$3,890.45	$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 $4,786.30 / $5,623.41 / $8,912.51	Facility		$4,786.30	$5,623.41	$8,912.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,918.31 / $13,489.63	Facility		$1,995.26	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,388.44 / $7,943.28	Facility		$1,862.09	$3,388.44	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $7,943.28	Professional		$2,570.40	$5,011.87	$7,943.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $27,542.29 / $27,542.29	Facility		$4,786.30	$27,542.29	$27,542.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $478.63 / $478.63 / $2,754.23	Facility	AS	$478.63	$478.63	$2,754.23
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