Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $17,782.79	Facility		$2,187.76	$4,897.79	$17,782.79
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 $6,025.60 / $7,079.46 / $11,220.18	Facility		$6,025.60	$7,079.46	$11,220.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,918.31 / $13,489.63	Facility		$2,570.40	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $7,943.28	Facility		$2,238.72	$3,548.13	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $6,165.95 / $10,000.00	Professional		$3,235.94	$6,165.95	$10,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $34,673.69 / $34,673.69	Facility		$6,025.60	$34,673.69	$34,673.69
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $602.56 / $602.56 / $3,467.37	Facility	AS	$602.56	$602.56	$3,467.37
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