Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,079.46 / $14,454.40	Facility		$3,235.94	$7,079.46	$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 $8,912.51 / $10,471.29 / $16,595.87	Facility		$8,912.51	$10,471.29	$16,595.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $7,244.36 / $13,489.63	Facility		$3,467.37	$7,244.36	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $7,943.28	Facility		$2,691.53	$4,073.80	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $8,912.51 / $14,791.08	Professional		$4,570.88	$8,912.51	$14,791.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $50,118.72 / $50,118.72	Facility		$8,912.51	$50,118.72	$50,118.72
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $5,623.41 / $5,623.41 / $31,622.78	Facility	62	$5,623.41	$5,623.41	$31,622.78
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