Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,344.23 / $14,454.40	Facility		$1,047.13	$2,344.23	$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 $2,951.21 / $3,467.37 / $5,495.41	Facility		$2,951.21	$3,467.37	$5,495.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $6,918.31	Facility		$1,122.02	$2,290.87	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,454.71 / $15,135.61	Facility		$1,122.02	$2,454.71	$15,135.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $4,168.69	Professional		$1,819.70	$2,754.23	$4,168.69
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