Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,754.23 / $14,454.40	Facility		$1,230.27	$2,754.23	$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 $3,467.37 / $3,981.07 / $6,456.54	Facility		$3,467.37	$3,981.07	$6,456.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,918.31 / $13,489.63	Facility		$1,445.44	$6,918.31	$13,489.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,235.94 / $7,943.28	Facility		$1,445.44	$3,235.94	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,467.37 / $5,754.40	Professional		$1,778.28	$3,467.37	$5,754.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $16,218.10 / $16,218.10	Facility		$3,467.37	$16,218.10	$16,218.10
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