Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,884.03 / $14,454.40	Facility		$1,288.25	$2,884.03	$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 $3,630.78 / $4,265.80 / $6,760.83	Facility		$3,630.78	$4,265.80	$6,760.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,918.31 / $13,489.63	Facility		$1,412.54	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,818.38 / $7,943.28	Facility		$1,412.54	$2,818.38	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,801.89 / $6,025.60	Professional		$1,949.84	$3,801.89	$6,025.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $20,417.38 / $20,417.38	Facility		$3,630.78	$20,417.38	$20,417.38
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $363.08 / $363.08 / $2,041.74	Facility	AS	$363.08	$363.08	$2,041.74
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