Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $13,803.84 / $14,454.40	Facility		$724.44	$13,803.84	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,964.78 / $18,197.01	Facility		$6,606.93	$10,964.78	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,801.89	Facility		$2,041.74	$2,398.83	$3,801.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,019.95 / $5,370.32	Facility		$851.14	$3,019.95	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $7,585.78 / $15,848.93	Facility		$851.14	$7,585.78	$15,848.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,388.44	Professional		$1,096.48	$2,137.96	$3,388.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $17,378.01 / $17,378.01	Facility		$11,748.98	$17,378.01	$17,378.01
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $7,413.10 / $7,413.10 / $10,964.78	Facility	62	$7,413.10	$7,413.10	$10,964.78
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,174.90 / $1,174.90 / $1,737.80	Facility	AS	$1,174.90	$1,174.90	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $12,302.69 / $16,595.87	Facility		$7,585.78	$12,302.69	$16,595.87