Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $14,454.40	Facility		$1,000.00	$2,238.72	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,128.31 / $13,489.63	Facility		$5,011.87	$8,128.31	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $5,248.07	Facility		$2,818.38	$3,235.94	$5,248.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,918.31 / $13,489.63	Facility		$1,148.15	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,818.38 / $7,943.28	Facility		$1,148.15	$2,818.38	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $4,570.88	Professional		$1,445.44	$2,818.38	$4,570.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $12,882.50 / $12,882.50	Facility		$2,754.23	$12,882.50	$12,882.50
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $275.42 / $275.42 / $1,288.25	Facility	AS	$275.42	$275.42	$1,288.25
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