Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,265.80 / $14,454.40	Facility		$1,905.46	$4,265.80	$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 $5,248.07 / $6,165.95 / $9,772.37	Facility		$5,248.07	$6,165.95	$9,772.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,918.31 / $13,489.63	Facility		$2,187.76	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $7,943.28	Facility		$2,041.74	$3,548.13	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $5,495.41 / $8,709.64	Professional		$2,818.38	$5,495.41	$8,709.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $29,512.09 / $29,512.09	Facility		$5,248.07	$29,512.09	$29,512.09
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $524.81 / $524.81 / $2,951.21	Facility	AS	$524.81	$524.81	$2,951.21
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