Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,187.76 / $14,454.40	Facility		$977.24	$2,187.76	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $15,488.17 / $26,302.68	Facility		$11,481.54	$15,488.17	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,235.94 / $5,128.61	Facility		$2,754.23	$3,235.94	$5,128.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,137.96 / $6,918.31	Facility		$977.24	$2,137.96	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $15,135.61	Facility		$1,047.13	$2,238.72	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $3,715.35	Professional		$1,584.89	$2,398.83	$3,715.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $16,982.44	Facility		$11,220.18	$16,982.44	$16,982.44
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,122.02 / $1,122.02 / $1,698.24	Facility	AS	$1,122.02	$1,122.02	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79