Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $7,943.28 / $14,454.40	Facility		$3,548.13	$7,943.28	$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 $10,000.00 / $11,748.98 / $18,620.87	Facility		$10,000.00	$11,748.98	$18,620.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,413.10 / $13,489.63	Facility		$3,890.45	$7,413.10	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,570.88 / $9,120.11	Facility		$2,691.53	$4,570.88	$9,120.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $10,232.93 / $16,595.87	Professional		$5,248.07	$10,232.93	$16,595.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $75,857.76 / $75,857.76	Facility		$10,000.00	$75,857.76	$75,857.76
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