Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,737.80 / $14,454.40	Facility		$776.25	$1,737.80	$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 $2,187.76 / $2,570.40 / $4,073.80	Facility		$2,187.76	$2,570.40	$4,073.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $6,918.31 / $13,489.63	Facility		$912.01	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,818.38 / $7,943.28	Facility		$912.01	$2,818.38	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,290.87 / $3,630.78	Professional		$1,174.90	$2,290.87	$3,630.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $10,232.93 / $10,232.93	Facility		$2,187.76	$10,232.93	$10,232.93
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $1,023.29	Facility	AS	$218.78	$218.78	$1,023.29
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